Queen City Developmental Pediatrics Ltd
Pediatrics, Developmental - Behavioral Pediatrics in Cincinnati, OH. Organization (NPI-2).
NPI number1023738176
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1023738176
- Entity type
- Organization (NPI-2)
- Legal business name
- Queen City Developmental Pediatrics Ltd
- Organization subpart
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | – | – | Yes |
Other names
- Tri State Developmental Pediatrics (Doing Business As)
Practice location
2753 Observatory AveCincinnati, OH 45208-2231
Phone 513-275-6630 · Fax 513-275-6704
Mailing address
2753 Observatory AveCincinnati, OH 45208-2231
Phone 513-275-6630 · Fax 513-275-6704
Authorized official
Michelle Zimmer
Owner
5132756630
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