Organization
DAYTON CARDIOLOGY CONSULT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY NAYLOR (SCHEDULING MANAGER)
(937) 223-3053
Entity
Organization
Contact information
Practice address
8367 YANKEE ST, CENTERVILLE, OH 45458-1809
(937) 223-3053
(937) 853-0166
Mailing address
1126 S MAIN ST, DAYTON, OH 45409-2616
(937) 223-3053
(937) 853-0166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965871
—
OH
01
—
CL9186
RAILROAD MEDICARE
OH
Enumeration date
10/26/2007
Last updated
11/12/2007
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