Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 36.003444 | OH |
Y | 213ES0103X | Foot & Ankle Surgery | 36.003444 | OH |
NPI | 1306935226 |
---|---|
Provider Name | Dr. Darby William Wehrley |
First Address | Portsmouth, OH 45662-2681 |
Second Address | Portsmouth, OH 45662-6932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201020380 | (05) | IN |
P01812189 | RAILROAD MEDICARE (01) | IN |