Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 35094434 | OH |
NPI | 1205092590 |
---|---|
Provider Name | Amy Marcini |
First Address | Columbus, OH 43215-4753 |
Second Address | Columbus, OH 43215-4753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 18/02/2010 |