Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jun 30, 2010
License(s)
50.003801RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3525 OLENTANGY RIVER RD STE 5310 | Columbus, OH 43214-3938 | 614-533-5500 |
| MAILING | 5400 FRANTZ RD STE 250 | Dublin, OH 43016-6102 |
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