Organization Name: | EAST COLUMBUS ORTHOPEDIC MEDICINE & PAIN CENTER, INC |
NPI Number: | 1205869088 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD MARTIN (PRESIDENT/OWNER) |
Mailing Address: | 50 Mcnaughten Rd Suite 202 Columbus |
State: | OH US |
Postal Code: | 432132120 |
Phone Number: | 6147599761 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 34-003198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |