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Douglas J Deprofio, PA
Surgical Physician Assistant in Columbus, Ohio
NPI 1871587071

Douglas J Deprofio is a Surgical Physician Assistant based in Dublin, OH and is specialized in Surgical. Douglas J Deprofio practices in Columbus, OH and has the professional credentials of PA. The NPI Number for Douglas J Deprofio is 1871587071 and holds a License No. 50-001909 (Ohio).

The current practice location address for Douglas J Deprofio is 931 Chatham Ln, Columbus, OH and can be reached out via phone at 614-533-5500 and via fax at 614-533-5593.

Location: 931 Chatham Ln, Columbus, OH, 43016-4134
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Provider Profile Details
NPI Number
1871587071
Provider Name
Douglas J Deprofio
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
931 Chatham Ln, Columbus, OH, 43016-4134
Phone Number
614-533-5500
Fax Number
614-533-5593
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0068078 05 OH
institution
Provider Business Practice Location Address Details
Address
931 Chatham Ln
City
State
Zip
43221-2417
Phone Number
614-533-5500
Fax Number
614-533-5593
person
Provider Business Mailing Address Details
Address
931 Chatham Ln
City
State
Zip
43221-2417
Phone Number
614-533-5500
Fax Number
614-533-5593
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50-001909 (Ohio)
Definition
Definition to come...
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