Individual
OLGA BOUDOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5965 E BROAD ST, SUITE 290, COLUMBUS, OH 43213-1562
(614) 864-8302
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35054149
OH
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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