| NPI | 1881648236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA ALEX Director Of Billing Operations 513-245-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-10-26 |