Individual
BLAYRE R TUGGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5175 E MAIN ST, COLUMBUS, OH 43213-2425
(614) 575-1200
(614) 575-9405
Mailing address
PO BOX 789, NORTH OLMSTED, OH 44070-0789
(440) 777-6017
(440) 777-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-054271
OH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
35054271T
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35054271T
OH
Other
Enumeration date
03/31/2006
Last updated
08/13/2017
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