Individual
DR. SANG WON DACRI-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1970 TAMARACK RD., NEWARK, OH 43055
(740) 344-2452
(740) 522-7305
Mailing address
1970 TAMARACK RD., NEWARK, OH 43055
(740) 344-2452
(740) 522-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34006602
OH
2086S0129X
Vascular Surgery Physician
Primary
34006602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2028577
—
OH
01
—
P00397004
RAILROAD MEDICARE
OH
Enumeration date
11/21/2006
Last updated
11/23/2010
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