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NPI Code Detail

MEDICARE: MICHELLE POUNDS PA

MEDICARE:   MICHELLE  POUNDS  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.002697OH

General Provider Information

NPI Number : 1780040527
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE POUNDS PA
Provider Business Mailing Address
First Line : 3990 E BROAD ST BLDG 11
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1152
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3990 E BROAD ST BLDG 11
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1152
Country : US
Telephone Number : 614-336-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2016
Last Update Date : 01/09/2016

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Directions to “ MICHELLE POUNDS PA” Practice Location

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