JON G DIVINE

CINCINNATI, OH
NPI1659391761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: OH  35-070497)
Enumeration Date2006-07-20
Last Update Date2013-10-17
Business Address
-- JON G DIVINE M.D.
222 PIEDMONT AVE ML 0212
CINCINNATI, OH 45219-4231
Phone number: 513-475-8690
Mailing Address
-- JON G DIVINE M.D.
222 PIEDMONT AVE ML 0212
CINCINNATI, OH 45219-4231
Phone number: 513-475-8690