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Organization
ALLIANCE PRIMARY CARE
Active
Organization
ALLIANCE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARSON (SENIOR DIRECTOR)
(513) 585-9336
Entity
Organization
Contact information
Practice address
7380 TURFWAY RD, FLORENCE, KY 41042-1355
(859) 212-4600
(859) 212-4605
Mailing address
3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
(513) 585-9009
(513) 585-9373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2270028
—
OH
05
—
65929291
—
KY
Enumeration date
04/15/2008
Last updated
04/15/2008
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