Doctor Name: | MR. ERIC RYAN DARDINGER |
NPI Number: | 1104264423 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APRN, FNP-C |
License Number: | COA 14549-NP |
Business Practice Address: | 838 S 30th St Heath, OH - 430561254 |
Business Phone Number: | 7405226300 |
Business Fax Number: | 7405226308 |
Mailing Address: | 838 S 30th St, HEATH |
State: | OH |
Postal Code: | 430561254 |
Phone Number: | 7405226300 |
Fax Number: | 7405226308 |
NPI Enumeration Date: | 06/08/2013 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA 14549-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |