Organization
DAYTON PAIN CENTER LLC
Active
Parent organization
DAYTON PAIN CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAYTON PAIN CENTER LLC
Authorized official
INDIRA REDDY MD (BUSINESS MANAGER)
(937) 222-2233
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, DAYTON, OH 45415-1180
(937) 222-2233
Mailing address
1 ELIZABETH PL, STE D, DAYTON, OH 45408-1445
(937) 222-2233
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35035932R
OH
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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