Richard Breidenstein, DO
Student in an Organized Health Care Education/Training Program in Dayton, OH. Individual provider (NPI-1).
NPI number1619672425
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1619672425
- Entity type
- Individual (NPI-1)
- Name
- Richard Breidenstein
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Apr 1, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OH | Yes |
Practice location
405 W Grand AveDayton, OH 45405-7538
Phone 937-723-3248
Mailing address
405 W Grand AveDayton, OH 45405-7538
Phone 937-723-3248
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