Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.088986 | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35.088986 | OH |
NPI | 1295858355 |
---|---|
Provider Name | Dr. William J Rush |
First Address | Dayton, OH 45415-1180 |
Second Address | Dayton, OH 45415-1180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 25/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2743544 | (05) | OH |
I73809 | (02) | OH |