Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 30-017448 | OH |
NPI | 1043338031 |
---|---|
Provider Name | James R Cryder |
First Address | Cincinnati, OH 45246-4201 |
Second Address | Cincinnati, OH 45246-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |