Provider Demographics
NPI:1841563145
Name:PATRICK E MUFFLEY DO LLC
Entity Type:Organization
Organization Name:PATRICK E MUFFLEY DO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:E
Authorized Official - Last Name:MUFFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-390-3990
Mailing Address - Street 1:2242 BOLD VENTURE DR
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-9134
Mailing Address - Country:US
Mailing Address - Phone:614-390-3990
Mailing Address - Fax:
Practice Address - Street 1:5888 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2815
Practice Address - Country:US
Practice Address - Phone:614-530-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty