Individual
DR. ROBERT S. PEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4488 W BROAD STREET, SUITE 3, COLUMBUS, OH 43228
(614) 853-1950
(614) 853-1951
Mailing address
4488 W BROAD STREET, SUITE 3, COLUMBUS, OH 43228
(614) 853-1950
(614) 853-1951
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34-005324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176796
MCD #
OH
05
—
0176796
—
OH
Enumeration date
08/17/2006
Last updated
03/07/2023
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