Organization
GREATER COLUMBUS OTOLARYNGOLOGY, HEAD AND NECK SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A MECHENBIER M.D. (PRESIDENT)
(614) 461-0008
Entity
Organization
Contact information
Practice address
839 W BROAD ST, COLUMBUS, OH 43222-1416
(614) 461-0008
(614) 461-6076
Mailing address
839 W BROAD ST, COLUMBUS, OH 43222-1416
(614) 461-0008
(614) 461-6076
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
35032588
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739811
—
OH
01
—
CA1803
RAILROAD MEDICARE
OH
Enumeration date
10/23/2006
Last updated
11/21/2007
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