Provider First Line Business Practice Location Address:
3535 OLENTANGY RIVER RD
Provider Second Line Business Practice Location Address:
RIVERSIDE METHODIST HOSPITAL
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:
614-566-5366
Provider Business Practice Location Address Fax Number:
614-566-6675
Provider Enumeration Date:
01/09/2009