Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | OH35073668H | OH |
Y | 207V00000X | Obstetrician & Gynecologist | OH35073668H | OH |
NPI | 1699839738 |
---|---|
Provider Name | Mr. Rodney Earl Hill |
First Address | Youngstown, OH 44504 |
Second Address | Youngstown, OH 44504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 04/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2253609 | (05) | OH |
F50304 | (02) |