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NPI Code Detail

MEDICARE: CURTIS ZANE LITTLE

MEDICARE: CURTIS ZANE LITTLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistOH

General Provider Information

NPI Number : 1477309185
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS ZANE LITTLE
Provider Business Mailing Address
First Line : 2872 SHELDON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-4534
Country : US
Telephone Number : 513-335-7640
Fax Number :
Provider Business Practice Location Address
First Line : 4900 GLENWAY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3916
Country : US
Telephone Number : 513-435-0379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 04/24/2024

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Directions to “ CURTIS ZANE LITTLE ” Practice Location

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