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Pediatric Associates Of Dayton, INC.

Pediatrics in Kettering, OH. Organization (NPI-2).

NPI number1609045012
StatusActive
Last updated in NPPESFeb 29, 2008

Details

NPI
1609045012
Entity type
Organization (NPI-2)
Legal business name
Pediatric Associates Of Dayton, INC.
Organization subpart
No
Enumeration date
Feb 29, 2008
Last updated
Feb 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

5450 Far Hills Ave
Suite 110
Kettering, OH 45429-2386

Phone 937-436-2866 · Fax 937-436-1468

Mailing address

9000 N Main St
Suite 110
Dayton, OH 45415-1180

Phone 937-832-7337 · Fax 937-832-4817

Authorized official

Gary Youra
Physician
9378327337

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