Organization
PHOENIX HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURT DHIRA (CEO)
(614) 551-4364
Entity
Organization
Contact information
Practice address
360 S GRANT AVE, COLUMBUS, OH 43215-5537
(614) 551-4364
Mailing address
1414 OAKLAND PARK AVE, COLUMBUS, OH 43224-3507
(614) 551-4326
(614) 413-3536
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
01/09/2025
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