# ALLIANCE PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kettering Surgical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235554650
- **Authorized official:** TIMOTHY Y KO (CFO)
- **Authorized official phone:** (937) 558-3223

## Contact information

- **Practice address:** 1251 NILLES RD, SUITE 17, FAIRFIELD, OH 45014-7206
- **Practice address phone:** (937) 829-7133
- **Practice address fax:** (937) 829-7134
- **Mailing address:** 1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
- **Mailing address phone:** (937) 752-2306
- **Mailing address fax:** (937) 522-7626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 10/04/2019