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Physicians Surgery Pediatric Surgery

Provider NPI: 1073564381

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 614-722-3100  Fax: --

Business Mailing Address:
Tel: 614-947-3700  Fax: 614-261-8159

NPI Information:
NPI: 1073564381
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Pediatric Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2086S0120X





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