Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36.003940 | OH |
NPI | 1053790410 |
---|---|
Provider Name | Dr. Jessica Rispoli |
First Address | Richmond Hts, OH 44143-1116 |
Second Address | Beckley, WV 25801-6444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2015 |
Last Update Date | 30/11/2020 |