ROBERT GERARD IDZAKOVICH

PORTSMOUTH, OH
NPI1275994048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  RN391062)
Enumeration Date2016-03-08
Last Update Date2016-03-08
Business Address
-- ROBERT GERARD IDZAKOVICH FNP
2511 GRANDVIEW AVE
PORTSMOUTH, OH 45662-2770
Phone number: 740-464-8125
Mailing Address
-- ROBERT GERARD IDZAKOVICH FNP
2511 GRANDVIEW AVE
PORTSMOUTH, OH 45662-2770
Phone number: 740-464-8125
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