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Organization

OHIO PHLEBOLOGY PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARA BLAND (MANAGER)
(513) 793-7999
Entity
Organization

Contact information

Practice address
8044 MONTGOMERY RD, SUITE 525, CINCINNATI, OH 45236-2919
(630) 725-2768
Mailing address
8044 MONTGOMERY RD STE 525, CINCINNATI, OH 45236-2925
(513) 793-7999
(513) 802-5054

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
OH
2085R0204X
Vascular & Interventional Radiology Physician
OH
208600000X
Surgery Physician
OH
2086S0129X
Vascular Surgery Physician
OH

Other

Enumeration date
07/17/2008
Last updated
09/04/2025
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