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Individual

DR. DESIDERIO PINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
2542 KING CHARLES ST, SUITE: B, BEAVERCREEK, OH 45431-5719
(937) 320-1880
(937) 320-1880
Mailing address
3195 DAYTON XENIA RD STE 900-386, BEAVERCREEK, OH 45434-6390
(937) 244-9812

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
211611
NY
2084P0800X
Psychiatry Physician
221611
NY
2084P0800X
Psychiatry Physician
Primary
35-083573
OH
2084P0800X
Psychiatry Physician
MD477618
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2447598
OH
Enumeration date
09/26/2005
Last updated
10/05/2023
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