MEDICARE: DAVID A BILLMIRE MD

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
1	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	35.038412	OH

General Provider Information

NPI Number	:	1598845323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A BILLMIRE MD

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 2020
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-7181
Fax Number	:	513-636-7182

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	ML 2020
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-7181
Fax Number	:	513-636-7182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/06/2013

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