# PREMIER EMG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720319353
- **Authorized official:** LYNN GRAY (CLIENT SERVICES MANAGER)
- **Authorized official phone:** (513) 965-8041

## Contact information

- **Practice address:** 8271 CORNELL RD, SUITE 730, CINCINNATI, OH 45249-2290
- **Practice address phone:** (513) 317-3734
- **Practice address fax:** (513) 965-8093
- **Mailing address:** PO BOX 42878, CINCINNATI, OH 45242-0878
- **Mailing address phone:** (513) 965-8041
- **Mailing address fax:** (513) 965-8093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/21/2010
- **Last updated:** 06/02/2011