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Organization

CVP SURGERY CENTER IVY POINTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERI KNIGHT (SN CREDENTIALS MANAGER)
(513) 569-3741
Entity
Organization

Contact information

Practice address
601 IVY GTWY STE 302, CINCINNATI, OH 45245-1898
(513) 984-5133
Mailing address
4445 LAKE FOREST DR STE 600, BLUE ASH, OH 45242-3744
(513) 569-3741
(513) 569-3941

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
04/03/2020
Last updated
04/03/2020
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