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Organization

DARBY FAMILY PRACTICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KATHLEEN SUE BUSCH M.D. (PRESIDENT)
(614) 879-6622
Entity
Organization

Contact information

Practice address
487 W MAIN ST, WEST JEFFERSON, OH 43162-1178
(614) 879-6622
(614) 879-4043
Mailing address
487 W MAIN ST, WEST JEFFERSON, OH 43162-1178
(614) 879-6622
(614) 879-4043

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077094
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2271901
OH
Enumeration date
03/25/2008
Last updated
03/25/2008
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