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Organization
ALLIANCE PHYSICIAN INC
Active
Organization
ALLIANCE PHYSICIAN INC
Active
Parent organization
ALLIANCE PHYSICIAN INC
Other names
Perinatal Associates of SW Ohio
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICIAN INC
Authorized official
DANIEL D HAIABACH (ADMINISTRATIVE ASSISTANT)
(937) 558-3222
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 4300, KETTERING, OH 45429-1272
(937) 610-3220
(937) 610-3225
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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