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Organization

W BOYD CRAFTON MD INC

Active
Other names
Drs Bossert Crafton & Novak Inc/ Drs Bossert & Crafton Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATIE KAFEL (PRACTICE MANAGER)
(513) 723-9000
Entity
Organization

Contact information

Practice address
2123 AUBURN AVENUE, SUITE 242, CINCINNATI, OH 45219
(513) 723-9000
(513) 723-0455
Mailing address
2123 AUBURN AVENUE, SUITE 242, CINCINNATI, OH 45219
(513) 723-9000
(513) 723-0455

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35055281C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000004576
ANTHEM
OH
05
0052249
OH
05
0673623
OH
05
200002500A
IN
05
200002530A
IN
01
200005445
RR MEDICARE
01
64953052
KENTUCKY MEDICAID
Enumeration date
06/03/2006
Last updated
04/02/2014
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