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NPI 1225433055 Active Family Medicine

Quick Facts

NPI Number

1225433055

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2014-10-22

Last Updated (NPPES)

2014-10-22

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	35.069048 OH

Practice Address

99 N BRICE RD
SUITE 220
COLUMBUS, OH 432136510

Phone: 614-322-9760

Fax: 614-322-9762

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.