Organization
CORNERSTONE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY EBERHART (MEDICAL DIRECTOR)
(937) 885-4475
Entity
Organization
Contact information
Practice address
3333 W TECH RD STE 220, MIAMISBURG, OH 45342-0956
(937) 885-4475
(937) 885-3670
Mailing address
76 REMICK BLVD, SPRINGBORO, OH 45066
(937) 885-4475
(937) 885-3670
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368834
—
OH
Enumeration date
02/21/2007
Last updated
12/02/2020
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