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Stanley Lamar Peavy
Point of Service in Blue Ash, Ohio
NPI 1598006900

Stanley Lamar Peavy is a Point of Service based in Blue Ash, OH. Stanley Lamar Peavy practices in Blue Ash, OH. The NPI Number for Stanley Lamar Peavy is 1598006900 and holds a License No. (Ohio).

The current practice location address for Stanley Lamar Peavy is 11065 Grand Ave, Blue Ash, OH and can be reached out via phone at 513-386-7801. You can also correspond with Stanley Lamar Peavy through the mailing address at 11065 GRAND AVE, BLUE ASH, OH - 45242-2927 (mailing address contact number: 513-386-7801).

Location: 11065 Grand Ave, Blue Ash, OH, 45242-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598006900
Provider Name
Stanley Lamar Peavy
Credential
Provider Entity Type
Individual
Gender
Male
Address
11065 Grand Ave, Blue Ash, OH, 45242-2927
Phone Number
513-386-7801
Fax Number
Provider Enumeration Date
03/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11065 Grand Ave
City
Blue Ash
State
Ohio
Zip
45242-2927
Phone Number
513-386-7801
Fax Number
person
Provider Business Mailing Address Details
Address
11065 Grand Ave
City
Blue Ash
State
Ohio
Zip
45242-2927
Phone Number
513-386-7801
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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