Organization
BUCKEYE BRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DUNLAP (OWNER)
(937) 436-1348
Entity
Organization
Contact information
Practice address
5491 FAR HILLS AVE, DAYTON, OH 45429-2325
(937) 436-1348
(937) 436-7399
Mailing address
5491 FAR HILLS AVE, DAYTON, OH 45429-2325
(937) 436-1348
(937) 436-7399
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2420517
—
OH
Enumeration date
04/24/2006
Last updated
08/22/2020
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