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Organization

SOUTHWEST OHIO OB/GYN INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOYCE E RUSTERHOLZ MD (PRESIDENT)
(513) 424-1654
Entity
Organization

Contact information

Practice address
20 S BREIEL BLVD, MIDDLETOWN, OH 45044-5155
(513) 424-1654
(513) 424-8205
Mailing address
20 S BREIEL BLVD, MIDDLETOWN, OH 45044-5155
(513) 424-1654
(513) 424-8205

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
400375
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166976
OH
Enumeration date
07/08/2005
Last updated
03/03/2008
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