Healthcare Provider Details

I. General information

NPI: 1215903521
Provider Name (Legal Business Name): THE CRANLEY SURGICAL ASSOC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

3747 W FORK RD
CINCINNATI OH
45247-7548
US

V. Phone/Fax

Practice location:
  • Phone: 513-961-4335
  • Fax: 513-961-4227
Mailing address:
  • Phone: 513-961-4335
  • Fax: 513-961-4227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN E PALATCHI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 513-961-4335