Individual
JOHN THEODORE HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3773 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3425
(614) 566-5356
(614) 566-3835
Mailing address
1299 OLENTANGY RIVER RD, STE 103, COLUMBUS, OH 43212-3135
(614) 566-4278
(614) 566-5424
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35025062
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129202
—
OH
Enumeration date
11/17/2005
Last updated
11/01/2007
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