Individual
DANIEL E STRAITON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429-1263
(937) 294-3611
(937) 294-9010
Mailing address
3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429-1263
(937) 294-3611
(937) 294-9010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005877RX
OH
363AS0400X
Surgical Physician Assistant
Primary
50.005877RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343256
—
OH
Enumeration date
03/05/2019
Last updated
11/19/2020
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