Organization
CINCINNATI BREAST SURGEONS, INC
Active
Other names
Donna L Stahl MD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANNE M RUNK M.D. (PARTNER)
(513) 221-2544
Entity
Organization
Contact information
Practice address
4850 RED BANK RD, SUITE 311, CINCINNATI, OH 45227-1545
(513) 221-2544
(513) 221-1320
Mailing address
4850 RED BANK RD, SUITE 311, CINCINNATI, OH 45227-1545
(513) 221-2544
(513) 221-1320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213647
—
OH
05
—
65937633
—
KY
Enumeration date
02/21/2007
Last updated
06/30/2010
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