Individual
HIDETAKA KITAZONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504
(937) 523-2440
(937) 523-2962
Mailing address
2906 FOREST LAWN DR APT 3, BEAVERCREEK, OH 45431-8854
(937) 450-0758
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.127810
OH
208M00000X
Hospitalist Physician
Primary
35.127810
OH
Other
Enumeration date
06/29/2007
Last updated
02/28/2019
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