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Individual

MR. MARTIN B POPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2123 AUBURN AVE, SUITE 420, CINCINNATI, OH 45219-2906
(513) 421-4504
(513) 421-4507
Mailing address
2123 AUBURN AVE, SUITE 420, CINCINNATI, OH 45219-2906
(513) 421-4504
(513) 421-4507

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35031878P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0413163
OH
05
0921293
OH
05
100394580
IN
05
200100530A
IN
05
64766744
KY
Enumeration date
09/21/2005
Last updated
04/27/2012
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