Organization
TRI STATE TRAVEL HEALTH LLC
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALETHA W TIPPETT M.D. (MEDICAL DIRECTOR)
(513) 891-3093
Entity
Organization
Contact information
Practice address
10274 ALLIANCE RD, CINCINNATI, OH 45242-4710
(513) 891-3093
(513) 891-9947
Mailing address
10274 ALLIANCE RD, CINCINNATI, OH 45242-4710
(513) 891-3093
(513) 891-9947
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OH35074933
OH
Other
Enumeration date
08/29/2010
Last updated
07/31/2020
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