Provider First Line Business Practice Location Address:
110 N POPLAR ST
Provider Second Line Business Practice Location Address:
MCCULLOUGH HYDE MEMORIAL HOSP DEPT OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
OXFORD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45056-1204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-524-5440
Provider Business Practice Location Address Fax Number:
513-524-5559
Provider Enumeration Date:
01/20/2006