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Organization
ALLIANCE PHYSICIAN INC
Active
Organization
ALLIANCE PHYSICIAN INC
Active
Parent organization
ALLIANCE PHYSICIAN INC
Other names
Diklar Makola
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
415 BYERS RD, SUITE 100, MIAMISBURG, OH 45342-3684
(937) 866-3336
(937) 865-0122
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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