Organization
LIBERTY SHARONVILLE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN R BRINN M.D. (PHYSICIAN)
(513) 563-0044
Entity
Organization
Contact information
Practice address
11258 LEBANON RD, CINCINNATI, OH 45241-2214
(513) 563-0044
(513) 563-0061
Mailing address
11258 LEBANON RD, CINCINNATI, OH 45241-2214
(513) 563-0044
(513) 563-0061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040823
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016767
ANTHEM BCBS
OH
05
—
0912570
—
HI
Enumeration date
12/05/2006
Last updated
03/26/2015
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