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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
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