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Organization
ALLIANCE PHYSICIANS INC
Active
Organization
ALLIANCE PHYSICIANS INC
Active
Other names
Kettering Health Network Genetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3208
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8646
(937) 522-8100
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
OH
207RH0003X
Hematology & Oncology Physician
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
OH
Other
Enumeration date
03/06/2015
Last updated
03/24/2015
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