JUSTIN THAI

COLUMBUS, OH
NPI1700325487
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OH  34.014102)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  02006224A)
207P00000X Emergency Medicine
(Licence: MI  EMC0004670)
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: OH  34014102)
Enumeration Date2017-02-15
Last Update Date2024-03-21
Business Address
JUSTIN THAI DO
5100 W BROAD ST
COLUMBUS, OH 43228-1607
Phone number: 614-544-1047
Mailing Address
JUSTIN THAI DO
6212 FEDER RD
COLUMBUS, OH 43228-9531
Phone number: