Individual
BRENT P RISCILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9143
(614) 566-8080
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-085990
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35-085990
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-085990
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2761926
—
OH
Enumeration date
02/01/2007
Last updated
01/05/2022
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