Individual
AVIS ELLEN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2333
(513) 584-4061
(513) 584-2599
Mailing address
2830 VICTORY PKWY, STE 310, CINCINNATI, OH 45206-3700
(513) 245-3444
(513) 245-3449
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.065332
OH
207RR0500X
Rheumatology Physician
Primary
35.065332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027078
—
OH
Enumeration date
07/25/2006
Last updated
12/12/2007
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