Individual
DR. PRISCA MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8883
(614) 566-8149
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-6703
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151933
—
OH
Enumeration date
12/05/2005
Last updated
04/16/2014
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