Individual
ISIDRO GLENN RISMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 ALBERT SABIN WAY, CINCINNATI, OH 45267-2827
(513) 584-4457
(513) 584-2222
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5502
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35067571
OH
Other
Enumeration date
02/09/2007
Last updated
06/19/2017
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