Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35.029426 | OH |
NPI | 1003295502 |
---|---|
Provider Name | Dr. Walter Blair Geho |
First Address | Wooster, OH 44691 |
Second Address | Wooster, OH 44691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2015 |
Last Update Date | 29/05/2015 |