Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 35055583 | OH |
N | 207RX0202X | Medical Oncology | 35.055583 | OH |
NPI | 1023058427 |
---|---|
Provider Name | Dr. Mark D Romer |
First Address | Dayton, OH 45414-2855 |
Second Address | Dayton, OH 45409-1328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 07/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000389976 | ANTHEM (01) | |
0926225 | (05) | OH |