Individual
BENJAMIN TILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487
(614) 293-8153
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021129
OH
Other
Enumeration date
09/11/2023
Last updated
01/29/2025
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