Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 34.004529 | OH |
NPI | 1154342582 |
---|---|
Provider Name | Dr. Jeffrey Ray Hill |
First Address | Portsmouth, OH 45662-6931 |
Second Address | Portsmouth, OH 45662-6931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 07/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0748187 | (05) | OH |
E93195 | (02) | OH |