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Organization
THE FAMILY MEDICAL GROUP
Active
Organization
THE FAMILY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH AU ROCH (CREDENTIALING COORDINATOR)
(513) 619-5006
Entity
Organization
Contact information
Practice address
3260 WESTBOURNE DR, CINCINNATI, OH 45248-5107
(513) 389-1400
Mailing address
3260 WESTBOURNE DR, CINCINNATI, OH 45248-5107
(513) 389-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/09/2007
Last updated
07/28/2010
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