Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Oct 24, 2005
License(s)
35-08-5488 (OH), 01064440A (IN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 6480 HARRISON AVE SUITE 201 | Cincinnati, OH 45247-7961 | 513-354-3700 |
| LOCATION | 6480 HARRISON AVE SUITE 201 | Cincinnati, OH 45247-7961 | 513-354-3700 |
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