Individual
GABRIELLE DECOURTEN-MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
231 ALBERT SABIN WAY, DEPARTMENT OF PATHOLOGY, CINCINNATI, OH 45267-0001
(513) 558-4500
(513) 558-2289
Mailing address
2600 EUCLID AVE, CINCINNATI, OH 45219-2102
(513) 618-2848
(513) 618-2849
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
35-04-8558-D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009221
ANTHEM
OH
05
—
0539073
—
OH
01
—
0655092
AETNA
OH
05
—
64861990
—
KY
Enumeration date
07/19/2006
Last updated
07/08/2007
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