Organization
BEAVERCREEK FAMILY CARE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L WHITMER (PRACTICE MANAGER)
(937) 431-3700
Entity
Organization
Contact information
Practice address
2510 COMMONS BLVD, SUITE #275, BEAVERCREEK, OH 45431-3820
(937) 431-3700
(937) 431-3705
Mailing address
2510 COMMONS BLVD, SUITE #275, BEAVERCREEK, OH 45431-3820
(937) 431-3700
(937) 431-3705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0528263
—
OH
Enumeration date
09/08/2005
Last updated
02/12/2010
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