Individual
HUNTER LAWRENCE GAZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 366-0768
Mailing address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 366-0768
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
58.033899
OH
208600000X
Surgery Physician
5151016208
MI
Other
Enumeration date
04/07/2023
Last updated
07/05/2024
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