Provider First Line Business Practice Location Address:
3131 QUEEN CITY AVE
Provider Second Line Business Practice Location Address:
OHIO VALLEY 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:
45238
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:
11/22/2005