| Mercy Health Physicians Cincinnati, Llc | |
|
2859 Boudinot Ave Suite 304 Cincinnati OH 45238-1606 | |
| (513) 981-6784 | |
| (513) 981-4346 |
| Full Name | Mercy Health Physicians Cincinnati, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 2859 Boudinot Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Donna Fultz (CORPORATE MANAGER) |
| Authorized Official Contact | 5139816610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Physicians Cincinnati, Llc Po Box 632110 Cincinnati OH 45263-2110 Ph: (513) 981-6610 | Mercy Health Physicians Cincinnati, Llc 2859 Boudinot Ave Suite 304 Cincinnati OH 45238-1606 Ph: (513) 981-6784 |
| NPI Number | 1184020067 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 11/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184020067 | NPI | - | NPPES |
| 0270942 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
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