Organization
DAYTON INTERVENTIONAL RADIOLOGY VEIN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBIN I SYED M.D. (PRESIDENT)
(937) 424-2580
Entity
Organization
Contact information
Practice address
8101 MILLER FARM LN, A, DAYTON, OH 45458-7320
(937) 424-2580
(937) 424-2581
Mailing address
8101 MILLER FARM LN, A, DAYTON, OH 45458-7320
(937) 424-2580
(937) 424-2581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35070207
OH
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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