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Specialty details in registry · Pickerington, OH

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At a glance

12007 Mallard Pond Dr, Pickerington, OH 43147-8620

NPPES record updated Feb 23, 2016. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

12007 Mallard Pond Dr Suite B
Pickerington, OH 43147-8620

Professional details: NPI, taxonomy & registry record

NPI1730549486

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 385H00000X
Enumeration date: Feb 23, 2016
Record updated: Feb 23, 2016

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

385H00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12007 Mallard Pond Dr
Suite B
Pickerington, OH 43147-8620

Phone: (614) 354-7783

Mailing address

12007 MALLARD POND DR
SUITE B
PICKERINGTON, OH 431478620

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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