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Individual

JONNA M MCRURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4554
(614) 722-4565

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35064949
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0937348
OH
05
2516206
OH
Enumeration date
07/05/2005
Last updated
05/20/2008
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