Individual
BERNARD TIPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7981 BEECHMONT AVE, CINCINNATI, OH 45255-3290
(513) 475-8690
(513) 929-7239
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008595RX
OH
Other
Enumeration date
01/24/2023
Last updated
02/27/2024
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