Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Jun 16, 2005
License(s)
59723 (OH), 27117 (KY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10663 MONTGOMERY RD | Cincinnati, OH 45242-4403 | 513-347-9999 |
| LOCATION | 10663 MONTGOMERY RD | Cincinnati, OH 45242-4403 | 513-347-9999 |
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