Individual
DR. ALISA O MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, MLC 7009, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Mailing address
3333 BURNET AVE, MLC 7009, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.062191
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216752
ANTHEM
OH
01
—
010587697028
HUMANA
OH
05
—
0800664
—
OH
01
—
1220333
UNITED HEALTHCARE
OH
01
—
2287952
AETNA
OH
01
—
262570002
CARESOURCE
OH
Enumeration date
07/08/2005
Last updated
03/06/2015
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