| Private Medical Review | |
|
1900 Polaris Pkwy Ste 450-066 Columbus OH 43240-4035 | |
| (614) 448-9494 | |
| Not Available |
| Full Name | Private Medical Review |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 Polaris Pkwy Ste 450-066, Columbus, Ohio |
| Authorized Official Name and Position | Mark A. Dellinger (OWNER) |
| Authorized Official Contact | 6144489494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Medical Review 153 Sanctuary Ct Columbus OH 43235-4640 Ph: (614) 448-9494 | Private Medical Review 1900 Polaris Pkwy Ste 450-066 Columbus OH 43240-4035 Ph: (614) 448-9494 |
| NPI Number | 1598710816 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 01/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598710816 | NPI | - | NPPES |
| 2354492 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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