Organization
OSU HEALTH SYSTEM ANESTHESIA SVS DENTAL
Active
Parent organization
OSU HEALTH SYSTEM ANESTHESIA SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
OSU HEALTH SYSTEM ANESTHESIA SERVICES
Authorized official
JEFFREY J. ELLISON (ADMIN/DIRECTOR OF FINANCE)
(614) 293-2189
Entity
Organization
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-4705
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2046
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
—
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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