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Organization
ALLIANCE PHYSICIANS, INC.
Active
Organization
ALLIANCE PHYSICIANS, INC.
Active
Other names
Kettering Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
1251 NILLES RD, SUITE 17, FAIRFIELD, OH 45014-7206
(937) 829-7133
(937) 829-7134
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
02/21/2014
Last updated
10/04/2019
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