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Organization
WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC
Active
Organization
WOUND SPECIALISTS OF GREATER CINCINNATI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTI BALAR MASTURZO MD (OWNER)
(513) 557-3330
Entity
Organization
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-1111
(513) 557-3329
Mailing address
PO BOX 643911, CINCINNATI, OH 45264-3911
(513) 557-3330
(513) 557-3329
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
35-082412
OH
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
35-082412
OH
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2993891
—
OH
05
—
64096233
—
KY
05
—
7100118600
—
KY
Enumeration date
12/18/2008
Last updated
03/24/2016
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