| Family Practice West, Inc. | |
|
5212 W Broad St Columbus OH 43228-1642 | |
| (614) 878-7285 | |
| (614) 878-1724 |
| Full Name | Family Practice West, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5212 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Paul R. Gutheil (PHYSICIAN) |
| Authorized Official Contact | 6148787285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice West, Inc. 5212 W Broad St Columbus OH 43228-1642 Ph: (614) 878-7285 | Family Practice West, Inc. 5212 W Broad St Columbus OH 43228-1642 Ph: (614) 878-7285 |
| NPI Number | 1417337460 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417337460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17302 COA-NP (Ohio) | Primary |
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