Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Oct 3, 2014
License(s)
004086 (OH), 004086 (OH), 004086 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1120 POLARIS PKWY | Columbus, OH 43240-4042 | 614-847-1120 |
| MAILING | 5400 FRANTZ RD STE 250 | Dublin, OH 43016-6102 | 419-520-2495 |
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