Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 026257 | LA |
Y | 207L00000X | Anesthesiologist | 35.092292 | OH |
NPI | 1013113836 |
---|---|
Provider Name | Dr. Shay Lee Price |
First Address | Beavercreek, OH 45431-1705 |
Second Address | Gretna, LA 70053-5644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 09/06/2021 |