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Organization
SOUTHMOOR MEDICAL ASSOCIATES
Active
Organization
SOUTHMOOR MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JEROME HOCHWALT (PRESIDENT)
(937) 294-4487
Entity
Organization
Contact information
Practice address
38 SOUTHMOOR CIR NE, KETTERING, OH 45429-2443
(937) 294-4487
(937) 294-2255
Mailing address
38 SOUTHMOOR CIR NE, KETTERING, OH 45429-2443
(937) 294-4487
(937) 294-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198772
—
OH
Enumeration date
03/20/2007
Last updated
08/16/2007
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