Organization
ALLIANCE PRIMARY CARE
Active
Other names
TRISTATE SURGICAL WEIGHTLOSS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARSON (DIRECTOR PATIENT ACCOUNTING)
(513) 585-9336
Entity
Organization
Contact information
Practice address
7380 TURFWAY RD, FLORENCE, KY 41042-1355
(859) 212-4625
(859) 212-2463
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
—
2270028
—
KY
Enumeration date
04/07/2008
Last updated
04/07/2008
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