Individual
MARY LAREINE PASTORAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 ALTAIR PKWY STE 3300, WESTERVILLE, OH 43082-7653
(614) 882-0708
(330) 375-7779
Mailing address
400 ALTAIR PKWY STE 3300, WESTERVILLE, OH 43082-7653
(614) 882-0708
(330) 615-3284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.141488
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
10/13/2023
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