Individual
ELIZABETH G MOMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 259-5377
Mailing address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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