Individual
GREGORY DAVID BELLANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
(937) 245-7999
Mailing address
725 UNIVERSITY BLVD, BEAVERCREEK, OH 45324-2640
(937) 245-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029899
OH
363LF0000X
Family Nurse Practitioner
RN531508
PA
Other
Enumeration date
07/20/2011
Last updated
09/21/2022
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