Individual
DR. DOUGLAS DEARTH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, DOAN N 411, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
410 W 10TH AVE, DOAN N 411, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35130407
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2013
Last updated
06/20/2017
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