Individual
AUTUMN M O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4775 KNIGHTSBRIDGE BLVD, SUITE 207, COLUMBUS, OH 43214-4313
(614) 442-5557
(614) 442-1070
Mailing address
4775 KNIGHTSBRIDGE BLVD, SUITE 207, COLUMBUS, OH 43214-4313
(614) 442-5557
(614) 442-1070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35071470
OH
208000000X
Pediatrics Physician
Primary
35.071470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2111048
—
OH
Enumeration date
01/18/2006
Last updated
07/02/2008
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