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Organization
HEALTH SPECIALISTS OF DAYTON INC
Active
Organization
HEALTH SPECIALISTS OF DAYTON INC
Active
Parent organization
HEALTH SPECIALISTS OF DAYTON INC
Other names
Beavercreek OB/Gyn
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Authorized official
KENNETH PRUNIER (CEO AND PRESIDENT)
(937) 208-8252
Entity
Organization
Contact information
Practice address
630 N MAIN ST, STE 200A, SPRINGBORO, OH 45066-7519
(937) 748-8516
(937) 748-8593
Mailing address
630 N MAIN ST, STE 200A, SPRINGBORO, OH 45066-7519
(937) 748-8516
(937) 748-8593
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
11/04/2011
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