Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 100 | OH |
Y | 222Z00000X | Podiatrist | 100 | OH |
NPI | 1063503944 |
---|---|
Provider Name | Mr. David A. Games JR. |
First Address | Zanesville, OH 43702-2516 |
Second Address | Zanesville, OH 43701-3355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 12/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2454375 | (05) | OH |