LIBERTY SHARONVILLE PEDIATRICS NPI 1356409718

NPI Information

LIBERTY SHARONVILLE PEDIATRICS is a specialist in Cincinnati, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIBERTY SHARONVILLE PEDIATRICS NPI is 1356409718. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11258 LEBANON RD
CINCINNATI, OH
ZIP 45241-214
Phone: (513) 563-0044
Fax: (513) 563-0061

The provider's authorized official is Steven R Brinn .
The authorized official title is Physician and has the following contact phone number (513) 563-0044.

The CLIA number assigned to this NPI record is 36D1048097 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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