Organization
MICHAEL J COONEY MD MARK D RICAURTE MD AND ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN COONEY M.D. (PRESIDENT)
(614) 228-3036
Entity
Organization
Contact information
Practice address
719 W TOWN ST, COLUMBUS, OH 43222-1510
(614) 228-3036
(614) 228-5040
Mailing address
719 W TOWN ST, COLUMBUS, OH 43222-1510
(614) 228-3036
(614) 228-5040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0226213
—
OH
05
—
0779555
—
OH
Enumeration date
10/11/2005
Last updated
04/04/2012
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