Organization
COLUMBUS VASCULAR MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL SLAYBAUGH MD (PRESIDENT)
(614) 228-8272
Entity
Organization
Contact information
Practice address
285 E STATE ST, STE 460A, COLUMBUS, OH 43215-4354
(614) 228-8272
(614) 228-8271
Mailing address
285 E STATE ST, STE 460A, COLUMBUS, OH 43215-4354
(614) 228-8272
(614) 228-8271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071159S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2824555
—
OH
Enumeration date
06/04/2006
Last updated
11/26/2014
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