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3802 Paxton Ave Ste. 1 Cincinnati OH 45209-2399 | |
(513) 559-9700 | |
(513) 559-0900 |
Full Name | |
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Speciality | General Practice |
Location | 3802 Paxton Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Randy Johansen (PRESIDENT) |
Authorized Official Contact | 2054038902 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3700 Cahaba Beach Rd Birmingham AL 35242-5225 Ph: (205) 421-2098 | 3802 Paxton Ave Ste. 1 Cincinnati OH 45209-2399 Ph: (513) 559-9700 |
NPI Number | 1629436431 |
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Provider Enumeration Date | 02/08/2016 |
Last Update Date | 02/08/2016 |
Identifier | Type | State | Issuer |
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1629436431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (Ohio) | Primary |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |