Registry details
Type
Individual
Primary specialty
Dermatology, Procedural Dermatology
Enumerated
Dec 12, 2022
License(s)
50.007950RX (OH), 50.007950RX (OH), 50.007950RX (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3380 TREMONT RD STE 140 | Columbus, OH 43221-2140 | 614-442-6647 |
| MAILING | 7324 PICKWAY DR | Cincinnati, OH 45233-4247 | 513-225-8386 |
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