Individual
ALICIA DAWN BREECE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S GRANT AVE STE 350, COLUMBUS, OH 43215
(614) 566-9160
(614) 566-8392
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146224
—
OH
Enumeration date
08/11/2015
Last updated
06/10/2021
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