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4411 Montgomery Rd #206 Cincinnati OH 45212-3187 | |
(513) 631-0763 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 4411 Montgomery Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Angela U Tucker (RESIDENT) |
Authorized Official Contact | 5136310763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4411 Montgomery Rd #206 Cincinnati OH 45212-3187 Ph: (513) 631-0763 | 4411 Montgomery Rd #206 Cincinnati OH 45212-3187 Ph: (513) 631-0763 |
NPI Number | 1538363650 |
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Provider Enumeration Date | 06/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1538363650 | NPI | - | NPPES |
57009041 | Other | OH | MD TRAINING CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 57009041 (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 |