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Organization
LIVING WELL OHIO LLC
Active
Organization
LIVING WELL OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HITCHCOCK (MANAGING DIRECTOR)
(513) 475-3180
Entity
Organization
Contact information
Practice address
10615 MONTGOMERY RD, STE 150, CINCINNATI, OH 45242-4460
(513) 984-9355
(859) 223-0642
Mailing address
10615 MONTGOMERY RD, STE 150, CINCINNATI, OH 45242-4460
(513) 984-9355
(859) 223-0642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
02/09/2017
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