Organization
EPIPHANY CAPITAL GROUP
Active
Other names
411 Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NEWCOMB (PRESIDENT)
(614) 425-3334
Entity
Organization
Contact information
Practice address
5217 WESTBREEZE CT, HILLIARD, OH 43026-9496
(614) 425-3334
Mailing address
5217 WESTBREEZE CT, HILLIARD, OH 43026-9496
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332B0000X
OH
Other
Enumeration date
07/30/2009
Last updated
08/03/2009
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