Organization
DAN J AILES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL AILES MD (PROVIDER OWNER)
(740) 454-4070
Entity
Organization
Contact information
Practice address
950 BETHESDA DR STE 5, ZANESVILLE, OH 43701-7507
(740) 454-4070
Mailing address
950 BETHESDA DR STE 5, ZANESVILLE, OH 43701-7507
(740) 454-4070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000122315
PPOM CLAIMS
OH
05
—
0782416
—
OH
Enumeration date
11/16/2006
Last updated
04/20/2008
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