Individual
BRIAN GAUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 CLENEAY AVE, CINCINNATI, OH 45212-3580
(937) 304-1697
Mailing address
1725 CLENEAY AVE, CINCINNATI, OH 45212-3580
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
C21281589
OH
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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