Individual
JAY E RISSOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4620 GLENDALE MILFORD RD, SUITE 101, CINCINNATI, OH 45242-3704
(513) 745-9993
(513) 745-9269
Mailing address
PO BOX 635156, CINCINNATI, OH 45263-5156
(513) 745-9993
(513) 745-9269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35053312R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0774505
—
OH
Enumeration date
01/27/2006
Last updated
03/02/2012
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