Organization
NEUROLOGICAL ASSOCIATES OF SOUTHEAST OHIO INC
Active
Organization
NEUROLOGICAL ASSOCIATES OF SOUTHEAST OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA J GLASS (OFFICE MANAGER)
(740) 453-0680
Entity
Organization
Contact information
Practice address
945 BETHESDA DR, SUITE 230, ZANESVILLE, OH 43701-0801
(740) 453-0680
(740) 453-5158
Mailing address
945 BETHESDA DR, SUITE 230, ZANESVILLE, OH 43701-0801
(740) 453-0680
(740) 453-5158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35039044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117692
BLUE CROSS PROVIDER NUMBE
OH
05
—
0308223
—
OH
Enumeration date
07/23/2006
Last updated
07/06/2012
Update your record
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