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Organization

ALLIANCE PHYSICIANS INC

Active
Parent organization
ALLIANCE PHYSICIANS INC
Other names
Lebanon Hematology Oncology
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLIANCE PHYSICIANS INC
Authorized official
TIM KO (CHIEF FINANCIAL OFFICER)
(937) 558-3208
Entity
Organization

Contact information

Practice address
670 N BROADWAY ST, LEBANON, OH 45036-2590
(513) 228-1552
(513) 228-1558
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 384-4838
(937) 384-4845

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35048340
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0060402
OH
05
2712872
OH
Enumeration date
02/01/2012
Last updated
10/04/2013
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