Organization
WESTSIDE ENDOSCOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY BUSH (CHIEF OPERATING OFFICER)
(513) 794-5619
Entity
Organization
Contact information
Practice address
5525 MARIE AVE, CINCINNATI, OH 45248-3230
(513) 598-9222
(513) 598-2472
Mailing address
5525 MARIE AVE, CINCINNATI, OH 45248-3230
(513) 598-9222
(513) 598-2472
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2617841
—
OH
Enumeration date
06/29/2006
Last updated
08/22/2020
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