Premier Pediatric Group Inc.

NPI #1093922072 in Mason, Ohio

Provider Information

NPI Number
1093922072
Entity Type
Organization
Organization Name
Premier Pediatric Group Inc.
Primary Specialty
Specialist
Enumeration Date
May 17, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5386 COX SMITH ROAD
Address 2
SUITE A
City
Mason
State
Ohio
ZIP Code
45040
Phone
(513) 770-3466

Authorized Official

Name
DR. BRADLEY JACKSON, M.D.
Title
OWNER
Phone
(513) 770-3466

Specialties & Taxonomy Codes

Specialty
Specialist

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