Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Feb 10, 2016
License(s)
50.004609RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2323 W 5TH AVE SUITE 225 | Columbus, OH 43204-4899 | 614-224-6420 |
| MAILING | 2323 W 5TH AVE SUITE 225 | Columbus, OH 43204-4899 | 614-224-6420 |
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