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Individual

DR. BRIAN ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
456 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8305
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6670
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57.017737
OH

Other

Enumeration date
11/09/2010
Last updated
09/16/2015
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