Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 35040000 | OH |
NPI | 1346261997 |
---|---|
Provider Name | Richard Howard Skurow |
First Address | Cincinnati, OH 45240-3184 |
Second Address | Cincinnati, OH 45240-3184 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0426480 | (05) | OH |
A79289 | (02) | OH |