Organization
INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B. SORG M.D. (SOLE PROPRIETOR)
(937) 885-0464
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, INFUSION SERVICES, DAYTON, OH 45415-1180
(937) 279-5803
(937) 279-5873
Mailing address
PO BOX 652, SPRINGBORO, OH 45066-0652
(937) 885-0464
(937) 885-0464
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35-05-3064
OH
Other
Enumeration date
12/14/2010
Last updated
03/08/2011
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