Provider First Line Business Practice Location Address:
2001 POLARIS PARKWAY
Provider Second Line Business Practice Location Address:
OHIO STATE UNIVERSITY CLINICAL CANCER GENETICS
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-293-6694
Provider Business Practice Location Address Fax Number:
614-293-2314
Provider Enumeration Date:
11/21/2006