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4004 Harrison Ave Cincinnati OH 45211-4627 | |
(513) 635-7622 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 4004 Harrison Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Cory Allen Gaiser (MEDICAL DIRECTOR) |
Authorized Official Contact | 5136865446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4004 Harrison Ave Cincinnati OH 45211-4627 Ph: (513) 635-7622 | 4004 Harrison Ave Cincinnati OH 45211-4627 Ph: (513) 635-7622 |
NPI Number | 1770146946 |
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Provider Enumeration Date | 04/15/2019 |
Last Update Date | 09/06/2020 |
Identifier | Type | State | Issuer |
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1770146946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | 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 |