Individual
DR. GRACE L STA RINALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2432
(513) 872-8857
Mailing address
PO BOX 640738, CINCINNATI, OH 45264-0738
(800) 754-9764
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35037968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003654
ANTHEM
OH
05
—
0357304
—
OH
05
—
64766835
—
KY
Enumeration date
05/03/2006
Last updated
07/08/2007
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