Provider First Line Business Practice Location Address:
3131 QUEEN CITY AVENUE
Provider Second Line Business Practice Location Address:
OHIO VALLEY ANETHESIA LLC
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-341-7246
Provider Business Practice Location Address Fax Number:
859-341-7867
Provider Enumeration Date:
04/19/2006