Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 17, 2006
License(s)
50-00-1985 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2950 ROBERTSON AVE STE 2 | Cincinnati, OH 45209-1267 | 513-281-4400 |
| MAILING | 1 WYOMING ST | Dayton, OH 45409-2722 | 513-281-4400 |
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