Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.088487 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | 35.088487 | OH |
NPI | 1164501573 |
---|---|
Provider Name | Dr. Susan A Almazan |
First Address | Dayton, OH 45404-1815 |
Second Address | Dayton, OH 45404-1873 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2006 |
Last Update Date | 15/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2681245 | (05) | OH |