Organization
OHIO PHLEBOLOGY PROFESSIONAL CORPORATION
Active
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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