Individual
WILLIAM R DEFOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML 5037, CINCINNATI, OH 45229-3039
(513) 636-4975
(513) 636-6753
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
35.082450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64063548
—
KY
Enumeration date
07/20/2006
Last updated
12/28/2016
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