Individual
VICTOR VALDECANAS DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
285 E STATE ST, SUITE 300, COLUMBUS, OH 43215-4354
(614) 462-7894
(614) 884-1632
Mailing address
PO BOX 4, HILLIARD, OH 43026-0004
(614) 462-7894
(614) 884-1632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34.006900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2318003
—
OH
Enumeration date
01/18/2007
Last updated
12/11/2007
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