Organization
ASSURANCE HEALTH CLARKSVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MARTIN (ADMINISTRATOR)
(317) 670-6635
Entity
Organization
Contact information
Practice address
11690 GROOMS RD, BLUE ASH, OH 45242-1412
(765) 374-6044
Mailing address
PO BOX 586, GALLOWAY, OH 43119-0586
(765) 969-7841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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