Individual
BRIAN T. DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.N.P.
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-4925
(614) 293-5503
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
375877
OH
363L00000X
Nurse Practitioner
Primary
COA17723NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
05/14/2015
Last updated
07/29/2015
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