NPI 1194917062

Montgomery Pediatrics Incorporated

Organisation Preferred Provider Organization Cincinnati, OH

Practice location

Address: 10700 Montgomery Rd Suite 100, Cincinnati, OH 45242-3255
Phone: (513) 984-5552
Fax: (513) 984-5554

Authorised official

Name: Jenny Vaughn
Title: Office Manager
Phone: (513) 984-5552

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 35041085L (OH)

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Registry record

NPI: 1194917062
Entity type: Organization
NPI issued: 15 Aug 2007
Record last updated: 15 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.