Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | 36.003525 | OH |
Y | 213ES0103X | Foot & Ankle Surgery | 36.003525 | OH |
NPI | 1578729026 |
---|---|
Provider Name | Dr. Drew Jackson Belpedio |
First Address | Delaware, OH 43015-2255 |
Second Address | Delaware, OH 43015-2255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 21/10/2014 |