Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35076021 | OH |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 35076021 | OH |
NPI | 1245239441 |
---|---|
Provider Name | Dr. Robert Clark Rhoad |
First Address | Edgewood, KY 41017-3405 |
Second Address | Cincinnati, OH 45244-4053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 25/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G92746 | (02) |