| NPI | 1487444212 |
|---|---|
| Doing Business As | PHOENIX MD |
| Entity Type | Organization |
| Authorized Contact | CLINT CORNELL President 513-802-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-07-29 |