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Organization
UPPER VALLEY FAMILY CARE INC
Active
Organization
UPPER VALLEY FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KAUFFMAN (BUSINESS MANAGER)
(937) 339-8060
Entity
Organization
Contact information
Practice address
700 S STANFIELD RD, TROY, OH 45373-2372
(937) 339-8060
(937) 339-3056
Mailing address
700 S STANFIELD RD, TROY, OH 45373-2372
(937) 339-8060
(937) 339-3056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473492
—
OH
Enumeration date
10/26/2005
Last updated
08/22/2020
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