Organization
CAPITOL MEDICAL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN PAUL BAUMGARDNER D.O. (PRESIDENT)
(614) 595-1055
Entity
Organization
Contact information
Practice address
6674 WESTON CIR W, DUBLIN, OH 43016-7901
(614) 595-1055
(614) 873-2040
Mailing address
PO BOX 634230, CINCINNATI, OH 45263-0001
(614) 595-1055
(614) 873-2040
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2421749
—
OH
Enumeration date
10/02/2006
Last updated
01/13/2011
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