Organization
ADENA HEALTH SYSTEM
Active
Other names
Southern Ohio ENT
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M ROSENBERGER (CFO)
(740) 779-7582
Entity
Organization
Contact information
Practice address
4439 STATE ROUTE 159, SUITE 100, CHILLICOTHE, OH 45601-8207
(740) 779-4393
(740) 779-4399
Mailing address
272 HOSPITAL RD, SUITE 3, CHILLICOTHE, OH 45601-9031
(740) 779-4460
(740) 779-4257
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
34006288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475685
—
OH
Enumeration date
10/18/2007
Last updated
06/04/2014
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