Grant/riverside Medical Care Foundation, Inc

NPI 1093950560 - Family Medicine - 207QS0010X

NPI Details
NPI 1093950560
Enumeration Date 12/11/2008
Last Updated 12/11/2008
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TRACY A TRACY
Position CREDENTIALING SPECIALITS
Phone (614) 586-1220
Fax (614) 586-1237
Practice Location
3705 OLENTANGY RIVER RD
STE 260
COLUMBUS OH, 43214-3467, US
Phone (614) 586-1220
Fax (614) 586-1237
Business Location
5350 FRANTZ RD
DUBLIN OH, 43016-4259, US
Phone
Fax
Toxanomy
Taxonomy Code 207QS0010X
License State
License Number
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According to our database, Grant/riverside Medical Care Foundation, Inc NPI is 1093950560, taxonomy code is 207QS0010X Grant/riverside Medical Care Foundation, Inc physically located at 3705 Olentangy River Rd, Columbus OH, 43214-3467. NPI Number 1033115704 has the healthcare provider type.

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1093950560 NPI number is provided on an as is basis without warranty of any kind. 1093950560 is maintained by the National Plan & Provider Enumeration System. The contents of Grant/riverside Medical Care Foundation, Inc are for informational purposes only.