Davidson Road Primary Care, Inc | |
4444 Davidson Rd Hilliard OH 43026-9647 | |
(614) 777-4544 | |
(614) 771-5487 |
Full Name | Davidson Road Primary Care, Inc |
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Speciality | Clinic/Center |
Location | 4444 Davidson Rd, Hilliard, Ohio |
Authorized Official Name and Position | Veronica K Burda (PHYSICIAN/OWNER) |
Authorized Official Contact | 6147774544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Davidson Road Primary Care, Inc 4444 Davidson Rd Hilliard OH 43026-9647 Ph: (614) 777-4544 | Davidson Road Primary Care, Inc 4444 Davidson Rd Hilliard OH 43026-9647 Ph: (614) 777-4544 |
NPI Number | 1912013483 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4183653116 |
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Medicare Enrollment ID | O20050809001167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912013483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Veronica K Burda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619083169 PECOS PAC ID: 6901835941 Enrollment ID: I20110224000433 |
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