Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 35.088861 | OH |
NPI | 1023013505 |
---|---|
Provider Name | Dr. William E. Bloch |
First Address | Gahanna, OH 43230-1987 |
Second Address | Worthington, OH 43085-2217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 13/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0922416 | (05) | OH |
F59780 | (02) | OH |