Individual
CONSTANCE FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
58 EAST HOLLISTER STREET, CINCINNATI, OH 45219-1704
(513) 721-1737
(513) 287-7465
Mailing address
58 EAST HOLLISTER STREET, CINCINNATI, OH 45219-1704
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35038305F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033604
ANTHEM
OH
05
—
0301784
—
OH
01
—
1321700
UNITED MINE WORKERS
—
01
—
52266745400
BWC
OH
Enumeration date
08/04/2006
Last updated
07/08/2007
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