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Individual

DR. THOMAS ROBERT MALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2250 N BANK DR, COLUMBUS, OH 43220-5420
(614) 451-7550
(614) 451-8642
Mailing address
6898 ROUNDWOOD CT, DUBLIN, OH 43016-8623
(614) 733-0434
(614) 451-8642

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4262T1058
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000211210
ANTHEM BC BS
OH
01
0351310001
DMERC REGION B
OH
05
2006251
OH
01
P00020057
RAILROAD MEDICARE
OH
Enumeration date
05/09/2006
Last updated
04/20/2008
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