Organization
MONTGOMERY EAR NOSE & THROAT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMEE L KRUSE (PRACTICE MANAGER)
(513) 891-8700
Entity
Organization
Contact information
Practice address
9200 MONTGOMERY RD, #2B, CINCINNATI, OH 45242-7789
(513) 891-8700
(513) 891-8703
Mailing address
9200 MONTGOMERY RD, #2B, CINCINNATI, OH 45242-7789
(513) 891-8700
(513) 891-8703
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
34004051
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0924898
—
OH
Enumeration date
04/10/2006
Last updated
11/27/2012
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