Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35-092214 | OH |
Y | 208600000X | Surgeon | 35-092214 | OH |
NPI | 1013177815 |
---|---|
Provider Name | Dr. Maurice-Pierre Page |
First Address | Columbus, OH 43222-1553 |
Second Address | Columbus, OH 43222-1553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2008 |
Last Update Date | 24/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
78840 | (05) | OH |