Organization
BUCKEYE FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY MCDANIELS (PRESIDENT)
(614) 278-9666
Entity
Organization
Contact information
Practice address
2575 W BROAD ST, COLUMBUS, OH 43204-3333
(614) 278-9666
(614) 278-2385
Mailing address
2575 W BROAD ST, COLUMBUS, OH 43204-3333
(614) 278-9666
(614) 278-2385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699702571
DME
OH
05
—
2517299
—
OH
05
—
2517306
—
OH
Enumeration date
06/24/2006
Last updated
06/04/2010
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