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Organization
UPPER VALLEY PROFESSIONAL CORPORATION
Active
Organization
UPPER VALLEY PROFESSIONAL CORPORATION
Active
Other names
Dorset Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RADER (ADMINISTRATOR)
(937) 440-7454
Entity
Organization
Contact information
Practice address
998 S DORSET RD, SUITE 301, TROY, OH 45373-4753
(937) 339-5441
(937) 339-6668
Mailing address
PO BOX 479, TROY, OH 45373-0479
(937) 339-5441
(937) 339-6668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616404
—
OH
Enumeration date
09/22/2006
Last updated
08/20/2010
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