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Organization

ALLIANCE PHYSICIAN INC

Active
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Organization

ALLIANCE PHYSICIAN INC

Active
Parent organization
ALLIANCE PHYSICIAN INC
Other names
Grandview Oncology Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLIANCE PHYSICIAN INC
Authorized official
DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
(937) 558-3222
Entity
Organization

Contact information

Practice address
405 W GRAND AVE, 4TH FLOOR, DAYTON, OH 45405-4720
(937) 558-3500
(937) 558-3507
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—

Other

Enumeration date
09/08/2011
Last updated
09/08/2011
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