Individual
MARY POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 PIEDMONT AVE, STE. 7000, CINCINNATI, OH 45219-4231
(513) 475-8787
(513) 475-7348
Mailing address
2830 VICTORY PKWY, STE. 320, CINCINNATI, OH 45206-1785
(513) 245-3300
(513) 245-3303
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50-001872
OH
Other
Enumeration date
03/31/2006
Last updated
04/18/2008
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