Individual
DANITA M PODACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
60 WASHINGTON BLVD, KENTON, OH 43326-2080
(419) 673-8689
(419) 673-9492
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001720
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092949
—
OH
Enumeration date
05/25/2006
Last updated
12/09/2014
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