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Organization

GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEIDI B DONNELLY MD (OWNER/PRESIDENT CEO)
(937) 293-5567
Entity
Organization

Contact information

Practice address
3025 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1330
(937) 293-5567
(937) 293-5568
Mailing address
3025 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1330
(937) 293-5567
(937) 293-5568

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1936460
OH

Other

Enumeration date
08/11/2010
Last updated
08/11/2010
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