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Organization
VA MEDICAL CENTER, DAYTON
Active
Organization
VA MEDICAL CENTER, DAYTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED E GOMAA (MOD)
(937) 262-2134
Entity
Organization
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
6770 LEXINGTON PARK BLVD, MASON, OH 45040-2481
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
35084010
OH
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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