# MIAMI COUNTY OB-GYN ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIAMI COUNTY OB-GYN ASSOCIATES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194376269
- **Legal business name:** MIAMI COUNTY OB-GYN ASSOCIATES LLC
- **Authorized official:** SUSAN J COVELLI (MANAGER)
- **Authorized official phone:** (937) 339-7982

## Contact information

- **Practice address:** 1930 PRIME CT STE 105, TROY, OH 45373-9045
- **Practice address phone:** (937) 339-7982
- **Practice address fax:** (937) 339-7842
- **Mailing address:** 1930 PRIME CT STE 105, TROY, OH 45373-9045
- **Mailing address phone:** (937) 339-7982
- **Mailing address fax:** (937) 339-7842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2019
- **Last updated:** 09/20/2019