Individual
DR. BRANDON BLAKE CONINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, EMERGENCY MEDICINE, CINCINNATI, OH 45219-2364
(513) 558-5281
(513) 558-5791
Mailing address
3200 BURNET AVENUE, 3 SOUTH, CENTRAL CREDENTIALING, CINCINNATI, OH 45229-3019
(513) 558-5281
(513) 558-5791
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35 120143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077847
—
OH
05
—
7100252520
—
IN
Enumeration date
05/21/2009
Last updated
10/22/2014
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