Organization
OSU NEURO-PSYCHIATRIC PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SMITH (DIRECTOR, CORPORATE CREDENTIALING)
(614) 293-7444
Entity
Organization
Contact information
Practice address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-9600
(614) 293-6059
Mailing address
1670 UPHAM DR, COLUMBUS, OH 43210-1250
(614) 293-3600
(614) 293-6059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102325
—
OH
Enumeration date
05/01/2006
Last updated
08/25/2015
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