Apollo Medical Group Of Wellington LLC
Anesthesiology in Cincinnati, OH. Organization (NPI-2).
NPI number1629675129
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1629675129
- Entity type
- Organization (NPI-2)
- Legal business name
- Apollo Medical Group Of Wellington LLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2020
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
4355 Ferguson Dr Ste 190Cincinnati, OH 45245-5137
Phone 360-903-1036
Mailing address
Po Box 4186Springfield, IL 62708-4186
Phone 941-360-1566 · Fax 941-358-9818
Authorized official
Ayman Elfar
Member/Manager
9413601566
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