Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35045980 | OH |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 35045980 | OH |
NPI | 1003918780 |
---|---|
Provider Name | Philip H Keyser |
First Address | Ravenna, OH 44266-3929 |
Second Address | Ravenna, OH 44266-3929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 29/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0981568 | (05) | OH |
E73567 | (02) | OH |