Individual
BEVERLY ALTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3035 HAMILTON MASON RD STE 201, FAIRFIELD TOWNSHIP, OH 45011
(513) 894-4121
(513) 894-4120
Mailing address
3035 HAMILTON MASON RD STE 201, FAIRFIELD TOWNSHIP, OH 45011-5545
(513) 894-4121
(513) 894-4120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2001009168
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
35.134793
OH
207V00000X
Obstetrics & Gynecology Physician
OOO26669
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0312200
—
OH
Enumeration date
06/13/2006
Last updated
11/17/2020
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