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Organization
VARICOSE VEIN CENTERS OF GREATER CINCINNATI, LLC
Active
Organization
VARICOSE VEIN CENTERS OF GREATER CINCINNATI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH C RUSSELL MD (PRESIDENT/ CEO)
(513) 624-7900
Entity
Organization
Contact information
Practice address
7794 5 MILE RD, STE 270, CINCINNATI, OH 45230-2368
(513) 624-7900
(513) 624-0401
Mailing address
PO BOX 634984, CINCINNATI, OH 45263-0001
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
01/30/2009
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