Organization
ALLIANCE PHYSICIANS INC
Active
Other names
Southwest Ohio Urogynecology
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
7756 WASHINGTON VILLAGE DR, SUITE 135, CENTERVILLE, OH 45459-3999
(937) 436-9825
(937) 433-6508
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2305
(937) 522-7513
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082258
—
OH
Enumeration date
02/12/2013
Last updated
10/04/2019
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