Dermatologists of Southwestern Ohio, Llc.
NPI #1780052811 in Cincinnati, Ohio
Provider Information
- NPI Number
- 1780052811
- Entity Type
- Organization
- Organization Name
- Dermatologists of Southwestern Ohio, Llc.
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 6, 2015
- Last Updated
- Oct 16, 2017
Practice Location
- Address
- 7691 5 MILE RD
- Address 2
- SUITE 312
- City
- Cincinnati
- State
- Ohio
- ZIP Code
- 45230-4348
- Phone
- (513) 232-3332
Authorized Official
- Name
- JOHN C. LEPAGE, M.D.
- Title
- AUTHORIZED OFFICIAL
- Phone
- (937) 433-7536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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