# MARDEN PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609842707
- **Authorized official:** MR. BRIAN CONNOLLY (VP OF FINANCE & CFO)
- **Authorized official phone:** (740) 373-9446

## Contact information

- **Practice address:** 1120 POLARIS PKWY, SUITE 202, COLUMBUS, OH 43240-4042
- **Practice address phone:** (614) 433-0264
- **Mailing address:** 200 PUTNAM ST, SUITE 800, MARIETTA, OH 45750-3005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2006
- **Last updated:** 08/22/2020