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General NPI Number Information
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NPI Number | 1063469211
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Entity Type | Individual
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Provider Name | PEARL J COMPAAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 4415 AICHOLTZ RD STE 400B
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City | CINCINNATI
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State | OH
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Zip | 45245-1506
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Country | US
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Telephone | 513-752-8100
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Fax | 512-752-8103
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Provider Business Mailing Address
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Address Line | PO BOX 10050
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-7550
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Country | US
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Telephone | 310-335-4056
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Fax | 310-335-4098
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35032205
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License Number State | OH
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