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Individual

AMANDA CHANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220
(513) 246-7000
(513) 246-7590
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34012464
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
34.012464
OH

Other

Enumeration date
04/17/2014
Last updated
07/06/2018
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