Organization
NEURORADIANCE INTEGRATIVE HEALTH INITIATIVE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD COOPER MD (OWNER)
(614) 776-0624
Entity
Organization
Contact information
Practice address
110 POLARIS PKWY STE 120, WESTERVILLE, OH 43082-8028
(614) 776-0624
(614) 591-9486
Mailing address
110 POLARIS PKWY STE 120, WESTERVILLE, OH 43082-8028
(614) 776-0624
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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