Provider First Line Business Practice Location Address:
915 OLENTANGY RIVER ROAD, SUITE 4000
Provider Second Line Business Practice Location Address:
OSU EYE & EAR INSTITUTE
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-293-4453
Provider Business Practice Location Address Fax Number:
614-293-7292
Provider Enumeration Date:
03/22/2016