DOUGLAS J DEPROFIO

COLUMBUS, OH
NPI1871587071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: OH  50-001909)
Enumeration Date2005-09-02
Last Update Date2022-01-25
Business Address
DOUGLAS J DEPROFIO PA
931 CHATHAM LN
COLUMBUS, OH 43221-2417
Phone number: 614-533-5500
Mailing Address
DOUGLAS J DEPROFIO PA
5450 FRANTZ RD STE 360
DUBLIN, OH 43016-4134
Phone number: 614-544-6155