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Organization

OHIO STATE UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDRE DE LEON (CLINICAL INSTRUCTOR HOUSE STAFF)
(614) 293-2655
Entity
Organization

Contact information

Practice address
2231 N HIGH ST, COLUMBUS, OH 43201-1101
(614) 293-2655
(614) 293-2717
Mailing address
2231 N HIGH ST, COLUMBUS, OH 43201-1101
(614) 293-2655
(614) 293-2717

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
07/03/2007
Last updated
08/22/2020
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