Organization
OHIO PLASTIC SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L. MONDILLO MD (PRESIDENT)
(614) 326-4661
Entity
Organization
Contact information
Practice address
4661 SAWMILL RD, SUITE 100, COLUMBUS, OH 43220-6123
(614) 326-4661
Mailing address
4661 SAWMILL ROAD, SUITE 100, COLUMBUS, OH 43220-6123
(614) 326-4661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291778
—
OH
Enumeration date
06/01/2007
Last updated
08/22/2020
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