Independent Provider
INDEPENDENT PROVIDER official legal name INDEPENDENT PROVIDER is located at 3664 LARKWELL WAY, Columbus, Ohio. INDEPENDENT PROVIDER primary taxonomy is Preferred Provider Organization in the state of Ohio.
| Organization Legal Name | INDEPENDENT PROVIDER |
| Organization Other Name | INDEPENDENT PROVIDER |
| NPI | 1023423571 |
| City | Columbus |
| State | Ohio |
| Address 1 | 3664 LARKWELL WAY |
| Postal Code | 43232 |
| Phone | 6145715191 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 305R00000X | Managed Care Organizations | Preferred Provider Organization |