Organization
GENERATIONS FAMILY MEDICINE OF SOUTHWEST OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH AVERA MD (PRESIDENT)
(513) 217-5850
Entity
Organization
Contact information
Practice address
1042 SUMMITT SQ, MIDDLETOWN, OH 45042-3400
(513) 217-5850
Mailing address
PO BOX 635893, CINCINNATI, OH 45263-5893
(513) 721-3504
(513) 345-6281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
06/02/2008
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