Individual
PHILIP C ROHOLT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5890 MAYFAIR RD, CANTON, OH 44720-1547
(330) 305-2200
(330) 305-3310
Mailing address
5890 MAYFAIR RD, CANTON, OH 44720-1547
(330) 305-2200
(330) 305-3310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
45634
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203492
ANTHEM
—
05
—
0558856
—
OH
01
—
1991085
UNITED HEALTH CARE
—
01
—
2987047004
CIGNA
—
01
—
4087720
AETNA
—
Enumeration date
06/11/2006
Last updated
07/08/2007
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