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Individual

GABRIEL RICARDO TINOCO SUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
460 W 10TH AVE, COLUMBUS, OH 43210
(614) 293-0463
(614) 293-1704
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-0463

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 110425
FL
207RX0202X
Medical Oncology Physician
Primary
35.129365
OH
207RX0202X
Medical Oncology Physician
ME110425
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0192644
OH
Enumeration date
10/28/2008
Last updated
12/07/2020
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