Organization
FAMILY PRACTICE WEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMILEA GUTHEIL (OFFICE MANAGER)
(614) 878-7285
Entity
Organization
Contact information
Practice address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 878-7285
(614) 878-1724
Mailing address
5212 W BROAD ST, COLUMBUS, OH 43228-1642
(614) 878-7285
(614) 878-1724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008162
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2649076
—
OH
Enumeration date
05/05/2007
Last updated
02/27/2008
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