Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 34004976 | OH |
NPI | 1134114838 |
---|---|
Provider Name | Francis Paul Degenova |
First Address | Columbus, OH 43215-4601 |
Second Address | Columbus, OH 43215-4601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0253023 | (05) | OH |
F65251 | (02) | OH |
H476560 | MCR OPG (01) | OH |