Individual
JOHN RICHARD PANCOAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, BARRETT CENTER, CINCINNATI, OH 45219-2364
(513) 584-6928
(513) 584-4281
Mailing address
2830 VICTORY PKWY, STE 310, CINCINNATI, OH 45206-3700
(513) 245-3444
(513) 245-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-036298
OH
207RX0202X
Medical Oncology Physician
Primary
35-036298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390670
—
OH
05
—
4047835
—
TN
05
—
64764582
—
KY
Enumeration date
05/02/2006
Last updated
01/05/2008
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