Doctor Name: | DR. RICHARD EUGENE MINTER |
NPI Number: | 1609947951 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35045691-M |
Business Practice Address: | 6649 N High St Suite 100 Worthington, OH - 430854070 |
Business Phone Number: | 6148484820 |
Business Fax Number: | 6148484916 |
Mailing Address: | 2554 Sonnington Dr, DUBLIN |
State: | OH |
Postal Code: | 430169242 |
Phone Number: | 6147642562 |
Fax Number: | 6148484916 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35045691-M |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |