Organization
VACCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A STOYCHEFF MD (PHYSICIAN/MEDICAL DIRECTOR)
(614) 221-0222
Entity
Organization
Contact information
Practice address
815 W BROAD ST STE 320, COLUMBUS, OH 43222-1478
(614) 221-0222
(614) 221-9222
Mailing address
815 W BROAD ST STE 320, COLUMBUS, OH 43222-1478
(614) 221-0222
(614) 221-9222
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323660
—
OH
Enumeration date
08/08/2017
Last updated
10/20/2022
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