Healthcare Provider Details
I. General information
NPI: 1780684803
Provider Name (Legal Business Name): HEATHER PFEFFER HILKOWITZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/29/2005
Last Update Date: 08/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 MEDICAL CENTER DR SUITE 160
FRANKLIN OH
45005-5200
US
IV. Provider business mailing address
200 MEDICAL CENTER DR SUITE 160
FRANKLIN OH
45005-5200
US
V. Phone/Fax
- Phone: 513-424-1440
- Fax: 513-424-1422
- Phone: 513-424-1440
- Fax: 513-424-1422
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 35-08-4045H |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: