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Individual

ADAM J PORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.A.

Contact information

Practice address
410 W 10TH AVE FL 1, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3693
(614) 688-9420

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1000-00667
NC
367H00000X
Anesthesiologist Assistant
Primary
67.000241
OH
367H00000X
Anesthesiologist Assistant
7445
GA

Other

Enumeration date
12/09/2014
Last updated
10/10/2024
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