Individual
GORDON ANDREW BALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 E CRESCENTVILLE RD, CINCINNATI, OH 45246-1302
(701) 858-1801
(513) 671-7110
Mailing address
65 BOBTAIL WAY, MONROE, OH 45050-2439
(513) 292-1647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN388339
OH
Other
Enumeration date
08/25/2021
Last updated
09/13/2021
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