Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35-06-7037 | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35067037 | OH |
NPI | 1730140203 |
---|---|
Provider Name | Dr. Steven B. Dood |
First Address | Perrysburg, OH 43551-1304 |
Second Address | Perrysburg, OH 43551-1304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 20/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0184965 | (05) | OH |
F93269 | (02) | OH |
H250792 | MEDICARE PIN (01) |