Alliance Physicians, INC.
Family Medicine in Fairfield, OH. Organization (NPI-2).
NPI number1922355999
StatusActive
Last updated in NPPESOct 4, 2019
Details
- NPI
- 1922355999
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Physicians, INC.
- Organization subpart
- Yes
- Enumeration date
- Aug 9, 2012
- Last updated
- Oct 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Other names
- Village Green Primary Care (Doing Business As)
Practice location
945 Deis DrFairfield, OH 45014-8130
Phone 513-858-2666 · Fax 513-858-2685
Mailing address
2110 Leiter RdMiamisburg, OH 45342-3660
Phone 937-384-4838 · Fax 937-384-4845
Authorized official
Timothy Y Ko
Cfo
9375583223
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