Individual
ELIZABETH PINTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1211 DUBLIN RD, COLUMBUS, OH 43215-1077
(614) 485-2675
Mailing address
1211 DUBLIN RD, COLUMBUS, OH 43215-1077
(614) 485-2675
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.005809RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
01/14/2019
Last updated
11/09/2020
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