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Organization

GALEN R WARREN MD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHARON A WITHERSPOON CPC, RMA, GMO (OFFICE MANAGER)
(513) 871-1971
Entity
Organization

Contact information

Practice address
2752 ERIE AVE, CINCINNATI, OH 45208-2207
(513) 871-1971
(513) 871-2082
Mailing address
2752 ERIE AVE, CINCINNATI, OH 45208-2207
(513) 871-1971
(513) 871-2082

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030194
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0195524
OH
Enumeration date
10/25/2007
Last updated
10/15/2008
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