| NPI | 1881982635 |
|---|---|
| Doing Business As | BEACON EAST |
| Entity Type | Organization |
| Authorized Contact | SANDRA S DAVENPORT Credentialing Specialist 513-354-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |