Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 35-05-5940-V | OH |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 35.055940 | OH |
NPI | 1043251218 |
---|---|
Provider Name | Gilford S Vincent SR. |
First Address | Mount Vernon, OH 43050 |
Second Address | Mount Vernon, OH 43050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 24/02/2021 |