Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 34.003736 | OH |
NPI | 1366655656 |
---|---|
Provider Name | Dr. Roger Garcia |
First Address | Westerville, OH 43082-7700 |
Second Address | Columbus, OH 43229-5433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 02/09/2015 |