Individual
SAMANTHA JO BRAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 584-1000
Mailing address
4318 28TH ST, CINCINNATI, OH 45209-1606
(812) 614-8811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005582RX
OH
Other
Enumeration date
06/14/2018
Last updated
10/27/2020
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