Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 35.089577 | OH |
NPI | 1023283652 |
---|---|
Provider Name | Dr. Julie Z Shott |
First Address | Cuyahoga Falls, OH 44223-1404 |
Second Address | Cuyahoga Falls, OH 44223-1404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 29/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3048259 | (05) | OH |