Individual
DR. MARK DOUGLAS RICAURTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
719 W TOWN ST, COLUMBUS, OH 43222-1510
(614) 228-3036
(614) 228-5040
Mailing address
719 W TOWN ST, COLUMBUS, OH 43222-1510
(614) 228-3036
(614) 228-5040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-056839R
OH
Other
Enumeration date
01/26/2006
Last updated
03/31/2022
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