| NPI | 1144987157 |
|---|---|
| Other Name | BEACON - WESTERN RIDGE |
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS BLANKEMEYER CEO 513-354-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |