Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 35083847 | OH |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 35083847 | OH |
NPI | 1598751307 |
---|---|
Provider Name | Mark Louis Splaingard |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 23/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2453492 | (05) | OH |
67402673 | (05) | KY |