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Organization

ALLIANCE PRIMARY CARE

Active
Other names
PREFERRED SURGICAL
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES LARSON (DIRECTOR OF PATIENT ACCOUNTING)
(513) 585-9336
Entity
Organization

Contact information

Practice address
40 N GRAND AVE, SUITE 202, FORT THOMAS, KY 41075-4107
(859) 781-2628
(859) 572-4403
Mailing address
3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
(513) 585-9305
(513) 585-6146

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2549657
KY
Enumeration date
04/02/2008
Last updated
04/02/2008
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