JACKSON WADE PARKS

COLUMBUS, OH
NPI1730027004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-03-24
Last Update Date2026-03-24
Business Address
JACKSON WADE PARKS DO
5109 W BROAD ST
COLUMBUS, OH 43228-1648
Phone number: 614-544-1976
Mailing Address
JACKSON WADE PARKS DO
5109 W BROAD ST
COLUMBUS, OH 43228-1648
Phone number: 614-544-1976