Healthcare Provider Details

I. General information

NPI: 1073781704
Provider Name (Legal Business Name): FRANCIS R PIANKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 06/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ
DAYTON OH
45404-1873
US

IV. Provider business mailing address

PO BOX 3123
INDIANAPOLIS IN
46206-3123
US

V. Phone/Fax

Practice location:
  • Phone: 937-689-9117
  • Fax: 937-431-8562
Mailing address:
  • Phone: 800-901-2959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number34009392
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: