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Organization

BRETT COLDIRON MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT COLDIRON MD (PRESIDENT)
(513) 221-2828
Entity
Organization

Contact information

Practice address
3024 BURNET AVE, CINCINNATI, OH 45219-2420
(513) 221-2828
Mailing address
200 NORTHLAND BLVD FL 1, CINCINNATI, OH 45246-3604
(513) 672-4128
(513) 672-4479

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35-049740
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0566847
OH
05
64869621
KY
Enumeration date
10/06/2006
Last updated
09/12/2007
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