Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35-05-5901-A | OH |
NPI | 1003817370 |
---|---|
Provider Name | Mary E. Alton |
First Address | Dublin, OH 43017-0727 |
Second Address | Mansfield, OH 44903-2269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0729911 | (05) | OH |