Organization
BUCKEYE OB/GYN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE SIERA CORLEY M.D. (OWNER)
(614) 875-1721
Entity
Organization
Contact information
Practice address
1897 OHIO DR, GROVE CITY, OH 43123-4839
(614) 875-1721
(614) 820-2337
Mailing address
1897 OHIO DR, GROVE CITY, OH 43123-4839
(614) 875-1721
(614) 820-2337
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-074253
OH
207V00000X
Obstetrics & Gynecology Physician
35-088486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2578581
—
OH
05
—
2731986
—
OH
Enumeration date
09/03/2008
Last updated
11/20/2014
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