Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30. 017343 | OH |
Y | 213EG0000X | General Practice | 30. 017343 | OH |
NPI | 1003830837 |
---|---|
Provider Name | Dr. Johnny Roy Fuson |
First Address | Bucyrus, OH 44820-2209 |
Second Address | Bucyrus, OH 44820-2209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 08/07/2007 |