Organization
TRIUMPH LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS STANTON COSPER PA (OWNER)
(330) 507-2988
Entity
Organization
Contact information
Practice address
3350 ALLEGHENY AVE, COLUMBUS, OH 43209-1388
(330) 507-2988
Mailing address
1368 CHICKWEED ST, BLACKLICK, OH 43004-8333
(330) 507-2988
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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