The Dayton Heart Center, INC.
Internal Medicine, Cardiovascular Disease in Beavercreek, OH. Organization (NPI-2).
NPI number1104100627
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1104100627
- Entity type
- Organization (NPI-2)
- Legal business name
- The Dayton Heart Center, INC.
- Organization subpart
- Yes
- Enumeration date
- Oct 3, 2011
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | Yes |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | – | – | |
| 207RI0011X | Internal Medicine, Interventional Cardiology | – | – |
Other names
- The Dayton Heart Center/Beavercreek (Other Name)
Practice location
2510 Commons BlvdSuite 125
Beavercreek, OH 45431-3820
Phone 937-320-0630
Mailing address
1530 Needmore Rd3rd Floor
Dayton, OH 45414-3969
Phone 937-277-4274
Authorized official
Ronny E. Shumaker
Executive Director
9372768506
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