Miami Valley Professional Services, LLC
Clinic/Center, Medical Specialty in Columbus, OH. Organization (NPI-2).
NPI number1104886944
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104886944
- Entity type
- Organization (NPI-2)
- Legal business name
- Miami Valley Professional Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
100 W 3rd AveSuite 350
Columbus, OH 43201-3256
Phone 866-367-3798 · Fax 614-291-9452
Mailing address
100 W 3rd AveSuite 350
Columbus, OH 43201-3256
Phone 866-367-3798 · Fax 614-291-9452
Authorized official
Darryl L. Stromberg
V.P. Operations
8663673798
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