Organization
HEALTH SPECIALISTS OF DAYTON INC
Active
Parent organization
HEALTH SPECIALISTS OF DAYTON INC
Other names
Your Premier ObGyn
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Authorized official
KENNETH PRUNIER (PRESIDENT AND CEO)
(937) 208-8252
Entity
Organization
Contact information
Practice address
630 N MAIN ST, STE 200, SPRINGBORO, OH 45066-7519
(937) 748-8516
(937) 748-8732
Mailing address
630 N MAIN ST, STE 200, SPRINGBORO, OH 45066-7519
(937) 748-8516
(937) 748-8732
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2752025
—
OH
Enumeration date
03/15/2007
Last updated
08/17/2010
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