Organization
RIVERSIDE PULMONARY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL EUGENE MUTCHLER M.D. (PRESIDENT)
(614) 267-8585
Entity
Organization
Contact information
Practice address
3545 OLENTANGY RIVER RD, STE 201, COLUMBUS, OH 43214-3907
(614) 267-8585
(614) 267-9793
Mailing address
3545 OLENTANGY RIVER RD, STE 201, COLUMBUS, OH 43214-3907
(614) 267-8585
(614) 267-9793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0674462
—
OH
01
—
104529
ANTHEM MEDIGAP
OH
01
—
1356010
UMW
OH
Enumeration date
06/22/2005
Last updated
07/21/2022
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