Organization
CARDIOTHORACIC SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J FANNING MD (PHYSICIAN)
(614) 856-9100
Entity
Organization
Contact information
Practice address
85 MCNAUGHTEN ROAD, SUITE 110, COLUMBUS, OH 43213-5111
(614) 856-9100
(614) 856-9191
Mailing address
85 MCNAUGHTEN ROAD, SUITE 110, COLUMBUS, OH 43213-5111
(614) 856-9100
(614) 856-9191
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741648
—
OH
Enumeration date
12/08/2006
Last updated
10/11/2007
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