Individual
DR. TARA D WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4218
(330) 965-0909
(330) 965-0897
Mailing address
1111 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4218
(330) 965-0909
(330) 965-0897
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34-008076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2430882
—
OH
Enumeration date
02/28/2006
Last updated
01/30/2008
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