# ALLIANCE PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kettering Health Medical Group Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871930917
- **Authorized official:** TIMOTHY Y KO (CFO)
- **Authorized official phone:** (937) 558-3223

## Contact information

- **Practice address:** 825 N. MAIN ST., SUITE 140, SPRINGBORO, OH 45066
- **Practice address phone:** (937) 762-5000
- **Practice address fax:** (937) 762-5099
- **Mailing address:** 1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
- **Mailing address phone:** (937) 762-1310
- **Mailing address fax:** (937) 522-8068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2013
- **Last updated:** 01/10/2023