Organization
ALLIANCE PHYSICIANS, INC.
Active
Parent organization
ALLIANCE PHYSICIANS, INC.
Other names
Xenia Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICIANS, INC.
Authorized official
TIMOTHY Y KO (CFO)
(937) 588-3208
Entity
Organization
Contact information
Practice address
50 N PROGRESS DR, XENIA, OH 45385-2666
(937) 374-4041
(937) 374-4020
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070003
—
OH
Enumeration date
08/09/2012
Last updated
09/03/2013
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