Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35.136229 | OH |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35.136229 | OH |
NPI | 1528474236 |
---|---|
Provider Name | Graham D Pallante |
First Address | Columbus, OH 43220-2246 |
Second Address | Columbus, OH 43220-2247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2014 |
Last Update Date | 15/09/2020 |