Healthcare Provider Details

I. General information

NPI: 1841281987
Provider Name (Legal Business Name): TRACE WILLIAM CURRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10475 READING RD SUITE 117
CINCINNATI OH
45241-2563
US

IV. Provider business mailing address

10475 READING ROAD SUITE 117
CINCINNATI OH
45241
US

V. Phone/Fax

Practice location:
  • Phone: 513-559-1222
  • Fax: 513-559-1235
Mailing address:
  • Phone: 513-559-1222
  • Fax: 513-559-1235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35074062
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: