Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
May 3, 2006
License(s)
50.003062RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4900 GETTYSBURG RD | Columbus, OH 43220-2520 | 614-442-1012 |
| LOCATION | 4900 GETTYSBURG RD | Columbus, OH 43220-2520 | 317-607-3091 |
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