Walden Ponds Primary Care | |
5971 Golf Club Ln Hamilton OH 45011-8200 | |
(513) 785-4339 | |
(513) 785-4338 |
Full Name | Walden Ponds Primary Care |
---|---|
Speciality | Internal Medicine |
Location | 5971 Golf Club Ln, Hamilton, Ohio |
Authorized Official Name and Position | Kenneth J Prunier (PRESIDENT/CEO) |
Authorized Official Contact | 9372088213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walden Ponds Primary Care 5971 Golf Club Ln Hamilton OH 45011-8200 Ph: (513) 785-4339 | Walden Ponds Primary Care 5971 Golf Club Ln Hamilton OH 45011-8200 Ph: (513) 785-4339 |
NPI Number | 1174631725 |
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Provider Enumeration Date | 08/25/2006 |
Last Update Date | 11/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174631725 | NPI | - | NPPES |
2813389 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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