Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Dec 1, 2008
License(s)
35.121004 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 802 WAYNE ST STE 200 | Marietta, OH 45750 | 740-374-8272 |
| MAILING | PO BOX 449 | Marietta, OH 45750-0449 | 740-374-4500 |
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