Individual
MRS. NICOLE C BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3900 STONERIDGE LN, DUBLIN, OH 43017-2009
(614) 293-0080
(614) 293-0077
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
35095711
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327690465A
—
GA
Enumeration date
04/10/2006
Last updated
04/27/2011
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