Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35.135848 | OH |
NPI | 1225472319 |
---|---|
Provider Name | Dr. Zackary Ostin Byrd |
First Address | New Albany, OH 43054-8195 |
Second Address | New Albany, OH 43054-8195 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2013 |
Last Update Date | 13/01/2022 |