Organization
ALLIANCE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARSON (SENIOR DIRECTOR)
(513) 585-9336
Entity
Organization
Contact information
Practice address
4631 RIDGE AVE, CINCINNATI, OH 45209-1028
(513) 631-1268
(513) 366-4121
Mailing address
3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
(513) 585-9009
(513) 585-9373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031910
—
OH
05
—
65929291
—
KY
Enumeration date
04/29/2008
Last updated
04/29/2008
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