# DAYTON PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dayton Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902844947
- **Authorized official:** MS. BRENDA SERGENT (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (937) 280-8366

## Contact information

- **Practice address:** 3120 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1328
- **Practice address phone:** (937) 293-1622
- **Practice address fax:** (937) 245-6308
- **Mailing address:** 6680 POE AVE, SUITE 200, DAYTON, OH 45414
- **Mailing address phone:** (937) 280-8366
- **Mailing address fax:** (937) 280-8373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 35077949 | OH | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 207ZP0101X | Anatomic Pathology Physician | 35055113 | OH | — |
| 2085R0001X | Radiation Oncology Physician | 35070882R | OH | — |
| 208800000X | Urology Physician | 35036788 | OH | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 02/29/2024