Organization
MVHE INC
Active
Parent organization
MVHE INC
Other names
Internal Medicine and Pediatrics of Centerville
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
6611 CLYO RD, SUITE A, CENTERVILLE FINANCE, OH 45459-2786
(937) 208-7300
(937) 208-7330
Mailing address
6611 CLYO RD, SUITE A, CENTERVILLE, OH 45459-2786
(937) 208-7300
(937) 208-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967486
—
OH
Enumeration date
05/24/2006
Last updated
11/06/2013
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