Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 34.015284 | OH |
NPI | 1164959276 |
---|---|
Provider Name | Steven Barrientos |
First Address | Chillicothe, OH 45601-9031 |
Second Address | Chillicothe, OH 45601-7065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2017 |
Last Update Date | 26/08/2021 |