Organization
MUDDY CREEK PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD D HABEL M.D. (OWNER)
(513) 398-3900
Entity
Organization
Contact information
Practice address
608 READING RD STE D, MASON, OH 45040-1561
(513) 398-3900
(513) 398-4950
Mailing address
608 READING RD STE D, MASON, OH 45040-1561
(513) 398-3900
(513) 398-4950
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000284778
ANTHEM BCBS
OH
Enumeration date
03/15/2007
Last updated
08/22/2020
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