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Organization
MID OHIO RENAL DISEASE AND HYPERTENSION SPECIALIST, INC.
Active
Organization
MID OHIO RENAL DISEASE AND HYPERTENSION SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA LONG (OFFICE MANAGER)
(727) 287-6300
Entity
Organization
Contact information
Practice address
777 WEST STATE STREET, SUITE 502, COLUMBUS, OH 43222
(614) 228-4018
(614) 228-4237
Mailing address
P.O. BOX 711996, CINCINNATI, OH 45271-1996
(727) 287-6300
(727) 287-6306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389982
—
OH
Enumeration date
09/25/2006
Last updated
06/06/2008
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