NATHANAEL OETOYO SIDHARTA

ATHENS, OH
NPI1346266509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OH  35-045654)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
-- NATHANAEL OETOYO SIDHARTA M. D.
100 HOSPITAL DR
ATHENS, OH 45701-2301
Phone number: 740-589-4136
Mailing Address
-- NATHANAEL OETOYO SIDHARTA M. D.
100 HOSPITAL DR
ATHENS, OH 45701-2301
Phone number: 740-589-4136