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EDER CACERES REATIGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 802-7534
Mailing address
34 CHITTENDEN AVE APT 21, COLUMBUS, OH 43201-2159
(614) 802-7534

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
57245123
OH

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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