Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 35-084380 | OH |
NPI | 1851310908 |
---|---|
Provider Name | Dr. Jeffrey Todd Junko |
First Address | Akron, OH 44310-3165 |
Second Address | Akron, OH 44310-3165 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 15/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2674888 | (05) | OH |
I38069 | (02) | OK |