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Organization

TRI STATE TRAVEL HEALTH LLC

Active
Parent organization
TRI STATE TRAVEL HEALTH LLC
Other names
Passport Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRI STATE TRAVEL HEALTH LLC
Authorized official
DR. ALETHA WISSLER TIPPETT MD (MEDICAL DIRECTOR)
(513) 891-3093
Entity
Organization

Contact information

Practice address
10274 ALLIANCE RD, BLUE ASH, OH 45242-4710
(513) 891-3093
(513) 891-9947
Mailing address
10274 ALLIANCE RD, BLUE ASH, OH 45242-4710
(513) 891-3093
(513) 891-9947

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
08/07/2020
Last updated
08/07/2020
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