Organization
CLINIC 5 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN COURI (MEMBER)
(614) 598-9960
Entity
Organization
Contact information
Practice address
1466 NORTHWEST BLVD, COLUMBUS, OH 43212-3063
(614) 598-9960
Mailing address
1466 NORTHWEST BLVD, COLUMBUS, OH 43212-3063
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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