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NPI Code Detail

MEDICARE: MARSCILLA PACKER

MEDICARE: MARSCILLA PACKER
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
1172A00000XDriverRZ185360OH

General Provider Information

NPI Number : 1730967555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARSCILLA PACKER
Provider Business Mailing Address
First Line : 311 ELM ST STE 270
Second Line : #1303
City : CINCINNATI
State : OH
Zip : 45202-2781
Country : US
Telephone Number : 513-394-6799
Fax Number :
Provider Business Practice Location Address
First Line : 311 ELM ST STE 270
Second Line : #1303
City : CINCINNATI
State : OH
Zip : 45202-2781
Country : US
Telephone Number : 513-394-6799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2023
Last Update Date : 09/21/2023

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Directions to “ MARSCILLA PACKER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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