Provider First Line Business Practice Location Address:
311 STRAIGHT STREET
Provider Second Line Business Practice Location Address:
MILLENIUM ANESTHESIA LLC
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45219
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:
02/01/2006