Individual
BRONWYN LARISSA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-4299
(614) 293-2867
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4299
(614) 293-2867
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.128867
OH
207RP1001X
Pulmonary Disease Physician
Primary
35.128867
OH
Other
Enumeration date
06/25/2013
Last updated
09/18/2025
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