# DAYTON PAIN CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962663765
- **Authorized official:** INDIRA REDDY MD (PRACTICE MANAGER)
- **Authorized official phone:** (937) 222-2233

## Contact information

- **Practice address:** 1250 NATIONAL RD, STE 100 B, CLAYTON, OH 45315-9505
- **Practice address phone:** (937) 222-2233
- **Practice address fax:** (937) 222-9665
- **Mailing address:** 1 ELIZABETH PL, STE D, DAYTON, OH 45408-1445
- **Mailing address phone:** (937) 222-2233
- **Mailing address fax:** (937) 222-9665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/24/2008
- **Last updated:** 06/24/2008