Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 35-063495 | OH |
NPI | 1093715138 |
---|---|
Provider Name | Robert Glenn Castile |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 04/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108064000 | (05) | WV |
0896893 | (05) | OH |
6493120700 | (05) | KY |
B76736 | (02) |