Individual
SARA COLLEEN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2216 E MAIN ST, BEXLEY, OH 43209-2319
(614) 826-9266
(614) 826-9267
Mailing address
955 EASTWIND DR, WESTERVILLE, OH 43081-3376
(614) 262-9947
(614) 268-7849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003429
OH
363AS0400X
Surgical Physician Assistant
50.003429
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087426
—
OH
01
—
50.003429
MEDICAL LICENSE
OH
Enumeration date
11/16/2011
Last updated
11/08/2024
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