Healthcare Provider Details
I. General information
NPI: 1285798330
Provider Name (Legal Business Name): R. DARYL STEINER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/21/2006
Last Update Date: 10/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 PERKINS SQ
AKRON OH
44308-1063
US
IV. Provider business mailing address
1 PERKINS SQ
AKRON OH
44308-1063
US
V. Phone/Fax
- Phone: 330-543-8453
- Fax: 330-543-3023
- Phone: 330-543-8453
- Fax: 330-543-3023
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0204X |
| Taxonomy | Pediatric Emergency Medicine (Pediatrics) Physician |
| License Number | 34-002434 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080C0008X |
| Taxonomy | Child Abuse Pediatrics Physician |
| License Number | 34-002434 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: