Brd Management
Clinic/Center, Medical Specialty in Columbus, OH. Organization (NPI-2).
NPI number1104154236
StatusActive
Last updated in NPPESDec 1, 2009
Details
- NPI
- 1104154236
- Entity type
- Organization (NPI-2)
- Legal business name
- Brd Management
- Organization subpart
- No
- Enumeration date
- Dec 1, 2009
- Last updated
- Dec 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
3802 Olentangy River RdColumbus, OH 43214-3455
Phone 614-538-2200
Mailing address
4735 S Durango DrSuite #140
Las Vegas, NV 89147-8164
Phone 702-403-1411 · Fax 702-405-8165
Authorized official
David Legrand
Ceo
7024797587
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