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Organization
FERNANDO A. VILLARREAL, M.D., INC.
Active
Organization
FERNANDO A. VILLARREAL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO ACOSTA VILLARREAL M.D. (OWNER)
(937) 294-3850
Entity
Organization
Contact information
Practice address
3080 ACKERMAN BLVD, SUITE 200, KETTERING, OH 45429-3555
(937) 294-3850
Mailing address
3080 ACKERMAN BLVD, SUITE 200, KETTERING, OH 45429-3555
(937) 294-3850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37990
OH
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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