# VARICOSE VEIN CENTERS OF GREATER CINCINNATI, LLC

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

## Provider details

- **NPI number:** 1982659306
- **Authorized official:** DR. JOSEPH C RUSSELL MD (PRESIDENT/ CEO)
- **Authorized official phone:** (513) 624-7900

## Contact information

- **Practice address:** 7794 5 MILE RD, STE 270, CINCINNATI, OH 45230-2368
- **Practice address phone:** (513) 624-7900
- **Practice address fax:** (513) 624-0401
- **Mailing address:** PO BOX 634984, CINCINNATI, OH 45263-0001
- **Mailing address phone:** (513) 891-2813
- **Mailing address fax:** (513) 793-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 01/30/2009
