| Organization Name: | ALLIANCE PRIMARY CARE |
| NPI Number: | 1073784310 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES LARSON (DIRECTOR OF PATIENT ACCOUNTING) |
| Mailing Address: | 2859 Boudinot Ave Suite 107 Cincinnati |
| State: | OH US |
| Postal Code: | 452381606 |
| Phone Number: | 5139214227 |
| Fax Number: | 5134810904 |
| NPI Enumeration Date: | 03/14/2008 |
| NPI Last Update Date: | 03/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |