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Organization
OHIO STATE UNIVERSITY
Active
Organization
OHIO STATE UNIVERSITY
Active
Other names
OSU EAST PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SMITH (DIRECTOR CORPORATE CREDENTIALING)
(614) 293-7444
Entity
Organization
Contact information
Practice address
181 TAYLOR AVE, COLUMBUS, OH 43203-1779
(614) 257-3760
(614) 257-3148
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2391
(614) 293-4359
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
02/02/2017
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