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Walden Ponds Medical Care LLC

Internal Medicine in Hamilton, OH. Organization (NPI-2).

NPI number1508037847
StatusActive
Last updated in NPPESJan 27, 2010

Details

NPI
1508037847
Entity type
Organization (NPI-2)
Legal business name
Walden Ponds Medical Care LLC
Organization subpart
No
Enumeration date
Mar 14, 2008
Last updated
Jan 27, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35081138AOHYes
208000000X Pediatrics35081138AOH

Practice location

5964 Golf Club Ln
Hamilton, OH 45011-8224

Phone 513-893-1100 · Fax 513-893-1128

Mailing address

5964 Golf Club Ln
Hamilton, OH 45011-8224

Phone 513-893-1100 · Fax 513-893-1128

Authorized official

Shawna M Helton
Office Manager
5138931100

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