Individual
ANDREW ZACHARY PLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10330 SAWMILL PKWY, SUITE 300, POWELL, OH 43065-7790
(614) 793-2635
(614) 793-2562
Mailing address
12035 PALMER RD SW, REYNOLDSBURG, OH 43068-3830
(614) 730-0462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00080270
RAILROAD MEDICARE
OH
05
—
2249598
—
OH
Enumeration date
06/05/2006
Last updated
01/23/2008
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