Individual provider · NPI-1

Edwin Thomas Brott, MD

Anesthesiology · Ashland, KY

NPI number1063402287
StatusActive
Last updated in NPPESJan 26, 2011

Details

NPI
1063402287
Entity type
Individual (NPI-1)
Name
Edwin Thomas Brott
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Oct 27, 2005
Last updated
Jan 26, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology31144KYYes
207L00000X Anesthesiology62695OH

Practice location

2204 Lexington Avenue
Ashland, KY 41101

Phone 513-300-0149

Mailing address

2208 South Rd
Cincinnati, OH 45233-4267

Phone 513-300-0149

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