Organization
IMMEDIATE HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BOUDREAU DO (CEO)
(614) 839-5233
Entity
Organization
Contact information
Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(614) 839-5233
Mailing address
575 COPELAND MILL RD, SUITE 1D, WESTERVILLE, OH 43081-8977
(614) 839-5233
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0666551
—
OH
Enumeration date
05/20/2006
Last updated
02/26/2008
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