Basic Information
Provider Information
NPI: 1568043982
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HILL
FirstName: ANDREW
MiddleName: COLTON
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 AKRON GENERAL AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443072432
CountryCode: US
TelephoneNumber: 3303446000
FaxNumber:  
Practice Location
Address1: 1 AKRON GENERAL AVE
Address2:  
City: AKRON
State: OH
PostalCode: 443072432
CountryCode: US
TelephoneNumber: 3303446000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2021
LastUpdateDate: 04/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/15/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X58.032348OHY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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