| Walden Ponds Primary Care | |
|
5971 Golf Club Ln Hamilton OH 45011-8200 | |
| (513) 785-4339 | |
| (513) 785-4338 |
| Full Name | Walden Ponds Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 5971 Golf Club Ln, Hamilton, Ohio |
| Authorized Official Name and Position | Kenneth J Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walden Ponds Primary Care 5971 Golf Club Ln Hamilton OH 45011-8200 Ph: (513) 785-4339 | Walden Ponds Primary Care 5971 Golf Club Ln Hamilton OH 45011-8200 Ph: (513) 785-4339 |
| NPI Number | 1174631725 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174631725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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