Individual
REBECCA MARIE URIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10506A MONTGOMERY RD, MONTGOMERY, OH 45242-4402
(513) 853-1300
(513) 451-4118
Mailing address
1161 21ST AVE S, NASHVILLE, TN 37232-0011
(615) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085005277
IL
363A00000X
Physician Assistant
50.004540
OH
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462231
—
OH
Enumeration date
11/18/2014
Last updated
01/31/2022
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