Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 31725 | AZ |
NPI | 1780708073 |
---|---|
Provider Name | Robert L Ashlock |
First Address | College Park, MD 20740-3704 |
Second Address | College Park, MD 20740-3704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 30/06/2008 |