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Organization
PREMIER PHYSICIANS OF CENTRAL OHIO, LLC
Active
Organization
PREMIER PHYSICIANS OF CENTRAL OHIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH HOPE BONZA M.D. (MEDICAL DIRECTOR)
(614) 813-0764
Entity
Organization
Contact information
Practice address
4075 W DUBLIN GRANVILLE RD, DUBLIN, OH 43017-1436
(614) 210-0541
Mailing address
3136 KINGSDALE CTR STE 126, UPPER ARLINGTON, OH 43221-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35087348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780647
—
OH
Enumeration date
06/20/2014
Last updated
07/23/2014
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