Organization
MIDOHIO CARDIOLOGY AND VASCULAR CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY L HYLTON (CREDENTIALING COORDINATOR)
(614) 573-5416
Entity
Organization
Contact information
Practice address
3705 OLENTANGY RIVER RD, STE 100, COLUMBUS, OH 43214-3467
(614) 262-6772
(614) 262-7074
Mailing address
PO BOX 73444, CLEVELAND, OH 44193-0002
(614) 265-2921
(614) 262-7074
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-062660
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
35-055344
OH
207RI0011X
Interventional Cardiology Physician
35-058287
OH
363L00000X
Nurse Practitioner
NP-07581
OH
Other
Enumeration date
06/20/2005
Last updated
07/18/2007
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