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Organization
MIAMI VALLEY HEART & LUNG SURGEONS, LLC
Active
Organization
MIAMI VALLEY HEART & LUNG SURGEONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK P ANSTADT MD (PRESIDENT)
(937) 208-6060
Entity
Organization
Contact information
Practice address
30 E APPLE ST, SUITE 6252, DAYTON, OH 45409-2939
(937) 208-6060
(937) 208-6061
Mailing address
30 E APPLE ST, SUITE 6252, DAYTON, OH 45409-2939
(937) 208-6060
(937) 208-6061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NULL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2427332
—
OH
Enumeration date
07/05/2006
Last updated
02/09/2012
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