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Individual

JAMES BIANCHI III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2615 E HIGH ST, SPRINGFIELD, OH 45505-1412
(937) 325-0531
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.069560
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000296911
ANTHEM
OH
05
0251043
OH
Enumeration date
04/11/2006
Last updated
01/07/2008
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