Organization
OSUP CLINICAL PHYSICIANS, LLC
Active
Other names
OSU Physicians, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SHARP (INT EXECUTIVE DIRECTOR)
(614) 293-3202
Entity
Organization
Contact information
Practice address
543 TAYLOR AVE STE 2115, COLUMBUS, OH 43203-1278
(614) 366-3687
Mailing address
700 ACKERMAN RD STE 600, COLUMBUS, OH 43202-1559
(614) 293-2100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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