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Individual

DR. JUSTIN WILLIAM CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 212-5200
(859) 344-5553
Mailing address
PO BOX 635283, ST. ELIZABETH PHYSICIANS, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5553

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40845
KY
207RG0100X
Gastroenterology Physician
093161
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3126843
OH
05
7100047300
KY
Enumeration date
02/19/2008
Last updated
12/18/2012
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