Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35041079 | OH |
NPI | 1003870528 |
---|---|
Provider Name | Jay Donald Iams |
First Address | Columbus, OH 43221-2849 |
Second Address | Columbus, OH 43221-2849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 08/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0384507 | (05) | OH |
A79019 | (02) |