Organization
UVPC SPECIALISTS, INC.
Active
Other names
Upper Valley Women's Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RADER (ADMINISTRATOR)
(937) 440-7454
Entity
Organization
Contact information
Practice address
450 N HYATT ST, SUITE 206, TIPP CITY, OH 45371-1433
(937) 773-0428
(937) 773-0439
Mailing address
PO BOX 425, TROY, OH 45373-0425
(937) 773-0428
(937) 773-0439
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2718509
—
OH
Enumeration date
09/22/2006
Last updated
08/20/2010
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