Organization · Type 2 NPI

Sps18, LLC

Facial Plastic Surgery Physician · Gahanna, OH

NPI number 1043614589 Active

Practice location

725 Buckles Ct N Ste 210
Gahanna, OH 43230-6884

Fax (614) 245-4269

Other practice locations

  • 20 University Estates Blvd Unit 100, Athens, OH 45701-2967 · (614) 245-4263

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123X35081746 (OH)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

6 other providers at this address

About NPI 1043614589

Sps18, LLC's National Provider Identifier is 1043614589, issued on Oct 13, 2014. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Gahanna, OH. The record was last updated on Apr 6, 2021.