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Organization

OSU HEALTH SYSTEM ANESTHESIA SVS DENTAL

Active
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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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