Individual
INGRID MOMPOINT-BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 OAKLAND PARK AVE, COLUMBUS, OH 43224-3630
(614) 439-3168
Mailing address
1911 OAKLAND PARK AVE, COLUMBUS, OH 43224-3630
(614) 439-3168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
795-P.A.
PR
363AM0700X
Medical Physician Assistant
795-P.A.
PR
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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