Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
May 17, 2018
License(s)
50.005556RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 285 E STATE ST STE 360 | Columbus, OH 43215-4357 | 614-621-0101 |
| MAILING | 285 E STATE ST STE 360 | Columbus, OH 43215-4357 | 614-621-0101 |
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