# ALLIANCE PHYSICIAN INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIANCE PHYSICIAN INC
- **Other names:** Diklar Makola
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629350939
- **Legal business name:** ALLIANCE PHYSICIAN INC
- **Authorized official:** DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
- **Authorized official phone:** (937) 558-3222

## Contact information

- **Practice address:** 415 BYERS RD, SUITE 100, MIAMISBURG, OH 45342-3684
- **Practice address phone:** (937) 866-3336
- **Practice address fax:** (937) 865-0122
- **Mailing address:** 2110 LEITER RD, MIAMISBURG, OH 45342-3660
- **Mailing address phone:** (937) 384-4838
- **Mailing address fax:** (937) 384-4845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2011
- **Last updated:** 09/13/2011