Organization
4 SIG, LLC
Active
Other names
MidOhioDetox
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BRADY DO (PRACTICING PARTNER)
(614) 918-4003
Entity
Organization
Contact information
Practice address
955 EASTWIND DR, WESTERVILLE, OH 43081-3376
(614) 918-4003
Mailing address
5195 HAMPSTED VILLAGE CENTER WAY, STE 60, NEW ALBANY, OH 43054-8331
(614) 918-4003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34007181
OH
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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