Organization
PHOENIX MD INC.
Active
Organization
PHOENIX MD INC.
Active
Other names
Phoenix MD
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT CORNELL (PRESIDENT)
(513) 802-6551
Entity
Organization
Contact information
Practice address
8150 CORPORATE PARK DR STE 200, CINCINNATI, OH 45242-3360
(888) 926-6398
(888) 702-0459
Mailing address
770 KIPP DR, CINCINNATI, OH 45255-4510
(513) 802-6551
(513) 802-6551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
07/29/2025
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