Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 35-04-3906C | OH |
NPI | 1003859539 |
---|---|
Provider Name | Dr. Robert B Cameron |
First Address | Euclid, OH 44117-1714 |
Second Address | Chagrin Falls, OH 44023-4574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 21/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0559275 | (05) | OH |
CO2750 | (02) | OH |