Organization
WESTERVILLE SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE CHEETHAM (OFFICE MANAGER)
(614) 898-5578
Entity
Organization
Contact information
Practice address
477 COOPER RD, STE 440, WESTERVILLE, OH 43081-8053
(614) 898-5561
Mailing address
477 COOPER RD, STE 440, WESTERVILLE, OH 43081-8053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34007128G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120770
—
OH
Enumeration date
03/16/2017
Last updated
03/16/2017
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