Healthcare Provider Details

I. General information

NPI: 1922425941
Provider Name (Legal Business Name): CORY A FRANCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2014
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

227 FOOTE AVE
BELLEVUE KY
41073-1218
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number57. 024431
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: