Individual
JACQUELINE VANDERBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3545 OLENTANGY RIVER RD STE 220, COLUMBUS, OH 43214-3907
(614) 566-4924
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
35.129132
OH
Other
Enumeration date
08/27/2012
Last updated
01/25/2022
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