Organization
ORTHOPAEDIC & SPORTS MEDICINE CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY B MAGONE M.D. (PRESIDENT)
(513) 424-7711
Entity
Organization
Contact information
Practice address
275 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 424-7711
(513) 424-3599
Mailing address
275 N BREIEL BLVD, MIDDLETOWN, OH 45042-3807
(513) 424-7711
(513) 424-3599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35050466
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0506456
—
OH
Enumeration date
12/08/2005
Last updated
05/25/2010
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