Organization
PEDIATRIC & ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M RILEY (OFFICE MANAGER)
(614) 326-1600
Entity
Organization
Contact information
Practice address
5072 REED RD, COLUMBUS, OH 43220-2514
(614) 326-1600
(614) 326-3600
Mailing address
5072 REED RD, COLUMBUS, OH 43220-2514
(614) 326-1600
(614) 326-3600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
08/22/2020
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