| Doctor Name: | ERIC DIRKS |
| NPI Number: | 1053693630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | UO2709 |
| Business Practice Address: | 5100 W Broad St Columbus, OH - 432281607 |
| Business Phone Number: | 6145442780 |
| Business Fax Number: | 6145441727 |
| Mailing Address: | 5703 Apricot Ln, HILLIARD |
| State: | OH |
| Postal Code: | 430267304 |
| Phone Number: | 5153140666 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2011 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | UO2709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |