Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 34004221S | OH |
NPI | 1255315685 |
---|---|
Provider Name | Dr. Daryl R Sybert |
First Address | Westerville, OH 43081-1397 |
Second Address | New Albany, OH 43054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 14/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0959771 | (05) | OH |
F78164 | (02) | OH |