Provider First Line Business Practice Location Address:
AMERICAN KIDNEY STONE MANAGEMENT
Provider Second Line Business Practice Location Address:
797 THOMAS LANE
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-447-0281
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2006