Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 8, 2020
License(s)
36506 (NE)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3535 OLENTANGY RIVER RD | Columbus, OH 43214-3908 | 614-566-4919 |
| MAILING | 9604 S 25TH AVE | Bellevue, NE 68147-2485 | 435-840-3116 |
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