Jon G Divine, M.D.
NPI #1659391761 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1659391761
- Entity Type
- Individual
- Name
- Jon G Divine, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Sports Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Oct 17, 2013
Practice Location
- Address
- 222 PIEDMONT AVE
- Address 2
- ML 0212
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45219-4231
- Phone
- (513) 475-8690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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