Organization
ALLIANCE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES LARSON (DIRECTOR PATIENT ACCOUNTING)
(513) 585-9336
Entity
Organization
Contact information
Practice address
9311 S MASON MONTGOMERY RD, SUITE 102, MASON, OH 45040-8081
(513) 584-6898
(513) 584-6894
Mailing address
3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
(513) 585-9009
(513) 585-6146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2283854
—
OH
Enumeration date
04/02/2008
Last updated
04/02/2008
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