Organization
ALLIANCE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARSON (SENIOR DIRECTOR)
(513) 585-9336
Entity
Organization
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-1300
(513) 585-1358
Mailing address
3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
(513) 585-9009
(513) 585-9373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036611
—
OH
Enumeration date
04/15/2008
Last updated
04/15/2008
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