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8044 Montgomery Rd Suite 700 Cincinnati OH 45236-2919 | |
(502) 327-9100 | |
(502) 618-4990 |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 8044 Montgomery Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Gregory D Latta (BUSINESS MANAGER) |
Authorized Official Contact | 5024161851 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 7219 Louisville KY 40257-0219 Ph: (502) 416-1851 | 8044 Montgomery Rd Suite 700 Cincinnati OH 45236-2919 Ph: (502) 327-9100 |
NPI Number | 1750684197 |
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Provider Enumeration Date | 12/07/2010 |
Last Update Date | 06/29/2011 |
Identifier | Type | State | Issuer |
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1750684197 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (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 |