Organization
UVPC SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA RADER (ADMINISTRATOR)
(937) 440-7454
Entity
Organization
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-7454
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-7454
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2718509
—
OH
01
—
6222770001
DME
OH
Enumeration date
11/10/2010
Last updated
11/10/2010
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