Osup Clinical Physicians, LLC

NPI #1215401013 in Columbus, Ohio

Provider Information

NPI Number: 1215401013
Entity Type: Organization
Organization Name: Osup Clinical Physicians, LLC
Primary Specialty: Otolaryngology
Enumeration Date: Jan 15, 2019
Last Updated: Jan 15, 2019

Practice Location

Address: 543 TAYLOR AVE STE 2115
City: Columbus
State: Ohio
ZIP Code: 43203-1278
Phone: (614) 366-3687

Authorized Official

Name: KYLE SHARP
Title: INT EXECUTIVE DIRECTOR
Phone: (614) 293-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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