Organization
RICKY D ST ONGE, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICKY DONALD ST ONGE MD (SOLE MEMBER)
(740) 645-3893
Entity
Organization
Contact information
Practice address
5910 CLEVELAND AVE, COLUMBUS, OH 43231-6881
(614) 882-4343
(614) 882-4664
Mailing address
1255 N HAMILTON RD # 216, GAHANNA, OH 43230-6785
(740) 645-3893
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35-066328
OH
Other
Enumeration date
06/29/2012
Last updated
11/12/2014
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