CENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC NPI 1104972330

NPI Information

CENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC is a diagnostic radiology radiology in Columbus, OH. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRAL OHIO PRIMARY CARE PHYSICIANS SPECIALTY SERVICES LLC NPI is 1104972330. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4885 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43214-926
Phone: (614) 451-9229
Fax: (614) 451-0981

The provider's authorized official is John W Wulf .
The authorized official title is Chief Executive Officer and has the following contact phone number (614) 865-8011.

The CLIA number assigned to this NPI record is 36D2287191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 1/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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