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Organization

BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW THOMAS BLANKEMEYER (CEO)
(513) 530-3062
Entity
Organization

Contact information

Practice address
500 E BUSINESS WAY STE A, CINCINNATI, OH 45241-2374
(513) 354-3700
Mailing address
500 E BUSINESS WAY STE A, CINCINNATI, OH 45241-2374
(513) 354-3700

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000020238
ANTHEM
OH
05
2374818
OH
Enumeration date
12/17/2018
Last updated
12/17/2018
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