Individual
ANGELA EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S GRANT AVE STE 350, COLUMBUS, OH 43215-4701
(614) 566-9489
(614) 566-8392
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD424455
PA
2086S0102X
Surgical Critical Care Physician
MD424455
PA
2086S0127X
Trauma Surgery Physician
Primary
35.131203
OH
2086S0127X
Trauma Surgery Physician
MD424455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101253782
—
PA
Enumeration date
08/02/2006
Last updated
01/25/2022
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