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Individual

LEAH THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1320 WEST MAIN STREET, NEWARK, OH 43055
(220) 564-4218
(220) 564-4217
Mailing address
1320 WEST MAIN STREET, NEWARK, OH 43055
(220) 564-4218
(220) 564-4217

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3513155
OH
207L00000X
Anesthesiology Physician
Primary
35131550
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0228879
OH
Enumeration date
05/09/2013
Last updated
03/24/2023
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