Individual
LAURA THOMAN BROXTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5885 HARRISON AVE, SUITE 3100, CINCINNATI, OH 45248-1691
(513) 922-6666
(513) 922-1812
Mailing address
5885 HARRISON AVE, SUITE 3100, CINCINNATI, OH 45248-1691
(513) 922-6666
(513) 922-1812
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.121313
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000825937
ANTHEM PROVIDER ID
—
05
—
0086721
—
OH
05
—
7100247720
—
KY
Enumeration date
05/11/2009
Last updated
10/30/2020
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