Namsu Bae
Specialist in Dayton, OH. Individual provider (NPI-1).
NPI number1841878956
StatusActive
Last updated in NPPESMar 30, 2021
Details
- NPI
- 1841878956
- Entity type
- Individual (NPI-1)
- Name
- Namsu Bae
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 30, 2021
- Certification date
- Mar 30, 2021
- Last updated
- Mar 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2700 Miamisburg Centerville RdDayton, OH 45459-3738
Phone 937-825-5225
Mailing address
2700 Miamisburg Centerville RdDayton, OH 45459-3738
Phone 937-825-5225
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