Organization
SUPERIOR URGENT CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAN BULANOV CNP (OWNER)
(614) 829-3015
Entity
Organization
Contact information
Practice address
3620 GENDER RD, CANAL WINCHESTER, OH 43110-8679
(614) 829-3015
Mailing address
3620 GENDER RD, CANAL WINCHESTER, OH 43110-8679
(614) 829-3015
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0328904
—
OH
Enumeration date
09/17/2018
Last updated
04/07/2021
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