Jon G Divine, M.D. Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Cincinnati, OH

NPI

1659391761

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

35-070497 (OH)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-20

Last updated

2013-10-17