Organization
JAMES J ENYEART MD INC
Active
Organization
JAMES J ENYEART MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOSEPH ENYEART M.D. (PRESIDENT)
(330) 545-8814
Entity
Organization
Contact information
Practice address
121 E LIBERTY ST, GIRARD, OH 44420-2649
(330) 545-8814
(330) 545-5008
Mailing address
121 E LIBERTY ST, GIRARD, OH 44420-2649
(330) 545-8814
(330) 545-5008
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
35042993
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451407
—
OH
Enumeration date
04/16/2010
Last updated
04/23/2010
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