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Organization
JILA S WAIKHOM M D &ASSOCIATES INC
Active
Organization
JILA S WAIKHOM M D &ASSOCIATES INC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
JILA S WAIKHOM M.D. (PRESIDENT)
(937) 426-8235
Entity
Organization
Contact information
Practice address
440 SUGARBROOK TRL, BELLBROOK, OH 45305-9760
(937) 426-8235
Mailing address
440 SUGARBROOK TRL, BELLBROOK, OH 45305-9760
(937) 426-8235
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35036762
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0471903
—
OH
Enumeration date
03/11/2006
Last updated
10/27/2014
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