Individual
BENJAMIN SHANE PARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3333 BURNET AVENUE, MLC 2017, CINCINNATI, OH 45229-3026
(513) 636-4454
(513) 636-3928
Mailing address
3333 BURNET AVENUE, MLC 2017, CINCINNATI, OH 45229-3026
(513) 636-4454
(513) 636-3928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006936RX
OH
363A00000X
Physician Assistant
PA11498
TX
Other
Enumeration date
09/29/2017
Last updated
03/30/2021
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