Primesource Healthcare of Ohio, Inc.

NPI #1033245824 in Columbus, Ohio

Provider Information

NPI Number: 1033245824
Entity Type: Organization
Organization Name: Primesource Healthcare of Ohio, Inc.
Primary Specialty: Podiatrist
Enumeration Date: Feb 26, 2007
Last Updated: Oct 11, 2011

Practice Location

Address: 4449 EASTON WAY
Address 2: FLOOR 2
City: Columbus
State: Ohio
ZIP Code: 43219-6093
Phone: (800) 317-0711

Authorized Official

Name: MR. DAVID FLEMING
Title: PRESIDENT & CEO
Phone: (847) 267-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Optometrist	152W00000X
Audiologist	231H00000X
Podiatrist	213E00000X	Primary

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