Organization
ALLIANCE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARSON (DIRECTOR OF PATIENT ACCOUNTING)
(513) 585-9336
Entity
Organization
Contact information
Practice address
4750 E GALBRAITH RD, SUITE 210, CINCINNATI, OH 45236-6705
(513) 686-4820
(513) 686-4825
Mailing address
3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
(513) 585-9009
(513) 585-6146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034220
—
OH
Enumeration date
04/02/2008
Last updated
04/02/2008
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