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Individual

TERRI BRODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 475-8000
(513) 584-0468
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050321
OH
208D00000X
General Practice Physician
Primary
35 050321
OH

Other

Enumeration date
07/11/2006
Last updated
06/21/2018
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