Individual
DR. RANDALL I AYBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 LINCOLN PARK BLVD STE 110, KETTERING, OH 45429-6410
(937) 531-5020
(937) 298-4385
Mailing address
500 LINCOLN PARK BLVD STE 110, KETTERING, OH 45429-6410
(937) 531-5020
(937) 298-4385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.137497
OH
207R00000X
Internal Medicine Physician
G81088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369384
—
OH
Enumeration date
03/08/2007
Last updated
11/19/2020
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