Integrative Physical Medicine Of Dayton
General Practice in Centerville, OH. Organization (NPI-2).
NPI number1952777039
StatusActive
Last updated in NPPESAug 12, 2015
Details
- NPI
- 1952777039
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrative Physical Medicine Of Dayton
- Organization subpart
- No
- Enumeration date
- Aug 12, 2015
- Last updated
- Aug 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1504 Yankee Park PlCenterville, OH 45458-1878
Phone 937-424-3068
Mailing address
1504 Yankee Park PlCenterville, OH 45458-1878
Phone 937-424-3068
Authorized official
Tim Dooley
President
9374243068
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