Individual
ANNE AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.042152
OH
208000000X
Pediatrics Physician
35.042152
OH
Other
Enumeration date
05/28/2014
Last updated
01/29/2018
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