Organization
MVHE INC
Active
Parent organization
MVHE INC
Other names
Fairfield Road Physician Office
Organization subpart
Yes
Provider details
NPI number
Legal business name
MVHE INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8213
Entity
Organization
Contact information
Practice address
722 N FAIRFIELD RD, BEAVERCREEK, OH 45434-5918
(937) 208-7000
(937) 208-7010
Mailing address
722 N FAIRFIELD RD, BEAVERCREEK, OH 45434-5918
(937) 208-7000
(937) 208-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0964550
—
OH
Enumeration date
05/22/2006
Last updated
11/06/2013
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