Individual
JUSTIN THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1047
(614) 544-1028
Mailing address
6212 FEDER RD, COLUMBUS, OH 43228-9531
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006224A
IN
207P00000X
Emergency Medicine Physician
Primary
34.014102
OH
207P00000X
Emergency Medicine Physician
EMC0004670
MI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
34014102
OH
Other
Enumeration date
02/15/2017
Last updated
03/21/2024
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