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Individual

DR. NOEL BERNARD THURBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
575 COPELAND MILL RD, 2F, WESTERVILLE, OH 43081-8977
(614) 891-2828
(614) 891-5411
Mailing address
575 COPELAND MILL RD, SUITE 2F, WESTERVILLE, OH 43081-8977
(614) 891-2828
(614) 891-5411

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002522
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000211132
ANTHEM
OH
01
000000316937
ANTHEM
OH
01
030507736027
CARESOURE
OH
05
0835958
OH
01
311795350029
CARESOURCE
OH
01
36002522
STATE LICENSE#
OH
01
4649800001
ADMINASTAR
OH
01
4778110001
ADMINASTAR
OH
01
480032334
RAILROAD MEDICARE
OH
01
P00064303
RAILROAD MEDICARE
OH
01
P00070528
RAILROAD MEDICARE
Enumeration date
08/09/2005
Last updated
02/26/2008
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