Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35.139782 | OH |
N | 207V00000X | Obstetrician & Gynecologist | A130593 | CA |
Y | 207VX0201X | Gynecologic Oncologist | 35.139782 | OH |
NPI | 1497002232 |
---|---|
Provider Name | Juliet E Wolford |
First Address | Orange, CA 92868-3201 |
Second Address | Kettering, OH 45429-1265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2012 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0408648 | (05) | OH |