| Phoenix Md Inc. | |
|
4243 Hunt Rd Ste 402 Blue Ash OH 45242-6645 | |
| (888) 926-6398 | |
| Not Available |
| Full Name | Phoenix Md Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4243 Hunt Rd Ste 402, Blue Ash, Ohio |
| Authorized Official Name and Position | Clint Cornell (PRESIDENT) |
| Authorized Official Contact | 5138026551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Md Inc. 770 Kipp Dr Cincinnati OH 45255-4510 Ph: (513) 802-6551 | Phoenix Md Inc. 4243 Hunt Rd Ste 402 Blue Ash OH 45242-6645 Ph: (888) 926-6398 |
| NPI Number | 1487444212 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487444212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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