Provider First Line Business Practice Location Address:
5100 W BROAD STREET
Provider Second Line Business Practice Location Address:
OUCOM/DOCTORS HOSPITAL - EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43228-1607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-544-2780
Provider Business Practice Location Address Fax Number:
614-544-1727
Provider Enumeration Date:
05/18/2010