Provider First Line Business Practice Location Address:
2231 N HIGH ST
Provider Second Line Business Practice Location Address:
RARDIN FAMILY PRACTICE CENTER, RM 244
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43201-4153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-293-2877
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2006