Organization
INTEGRATED DERMATOLOGY OF COLUMBUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY D QUEEN (PRESIDENT)
(561) 314-2000
Entity
Organization
Contact information
Practice address
150 TAYLOR STATION RD, SUITE 250, COLUMBUS, OH 43213-4440
(614) 863-3222
(614) 863-4450
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
OH
Other
Enumeration date
05/14/2013
Last updated
01/16/2019
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