Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 34012863 | OH |
NPI | 1013356476 |
---|---|
Provider Name | Dr. Madeline Mcneil Tarrillion |
First Address | Youngstown, OH 44512-6241 |
Second Address | Youngstown, OH 44512-6241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 06/07/2017 |