Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 35125837 | OH |
NPI | 1174815708 |
---|---|
Provider Name | Sarah Allison Wall |
First Address | Columbus, OH 43202-1579 |
Second Address | Columbus, OH 43214-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2011 |
Last Update Date | 14/06/2018 |