Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 34.012727 | OH |
N | 207ND0900X | Dermatopathologist | 34.012727 | OH |
NPI | 1528405586 |
---|---|
Provider Name | Jessica V Hoy |
First Address | Dayton, OH 45459-4021 |
Second Address | Dublin, OH 43016-9629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2013 |
Last Update Date | 25/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0318461 | (05) | OH |