Organization
OHIO PHYSICIAN SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY L BROOKS M.D. (PRESIDENT)
(502) 596-6939
Entity
Organization
Contact information
Practice address
11427 REED HARTMAN HWY, SUITE 229, BLUE ASH, OH 45241-2418
(502) 596-6939
Mailing address
11427 REED HARTMAN HWY, SUITE 229, BLUE ASH, OH 45241-2418
(502) 596-6939
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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