Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35054402 | OH |
N | 208600000X | Surgeon | 35054402 | OH |
Y | 2086S0102X | Surgical Critical Care | 35054402 | OH |
NPI | 1306800511 |
---|---|
Provider Name | Douglas F Naylor JR. |
First Address | Cleveland, OH 44106-1716 |
Second Address | Cleveland, OH 44106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0842253 | (05) | OH |
F09118 | (02) | OH |