Alliance Physicians, INC.
in Fairfield, OH. Organization (NPI-2).
NPI number1235554650
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1235554650
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Physicians, INC.
- Organization subpart
- No
- Enumeration date
- Feb 21, 2014
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | – | – | Yes | |
| 208600000X | Surgery | – | – |
Other names
- Kettering Surgical Associates (Doing Business As)
Practice location
1251 Nilles RdSuite 17
Fairfield, OH 45014-7206
Phone 937-829-7133 · Fax 937-829-7134
Mailing address
1 Prestige PlSuite 550
Miamisburg, OH 45342-3794
Phone 937-752-2306 · Fax 937-522-7626
Authorized official
Timothy Y Ko
Cfo
9375583223
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