Organization
PEAK PERFORMANCE MEDICAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID STONE (PRACTICE MANAGER)
(502) 565-1895
Entity
Organization
Contact information
Practice address
10582 LOVELAND MADEIRA RD, LOVELAND, OH 45140-8962
(513) 760-0887
Mailing address
4229 BARDSTOWN RD STE 214, LOUISVILLE, KY 40218-3241
(502) 565-1895
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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