Organization
COLUMBUS SURGICAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CLARK (PRACTICE MANAGER)
(614) 263-1865
Entity
Organization
Contact information
Practice address
3555 OLENTANGY RIVER RD, STE 2000, COLUMBUS, OH 43214-3912
(614) 263-1865
(614) 263-5998
Mailing address
3555 OLENTANGY RIVER RD, STE 2000, COLUMBUS, OH 43214-3912
(614) 263-1865
(614) 263-5998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247807
—
OH
Enumeration date
10/18/2006
Last updated
11/05/2007
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