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Organization

MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Active
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Organization

MERCY HEALTH PHYSICIANS CINCINNATI, LLC

Active
Other names
Mercy Health Cardiovascular, Thoracic, Vascular and Endovascular
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CASSIE HAVLIN (PAYER CREDENTIALING)
(513) 981-4684
Entity
Organization

Contact information

Practice address
4030 SMITH RD, SUITE 300, CINCINNATI, OH 45209-1957
(513) 421-3494
(513) 345-2606
Mailing address
4030 SMITH RD, SUITE 300, CINCINNATI, OH 45209-1957
(513) 421-3494
(513) 345-2606

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270942
—
OH
Enumeration date
01/05/2015
Last updated
01/05/2015
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