Organization
PEDIATRIC ASSOCIATES OF DAYTON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY YOURA M.D. (PRESIDENT/PHYSICIAN)
(937) 832-7337
Entity
Organization
Contact information
Practice address
3140 DAYTON XENIA RD, SUITE C, BEAVERCREEK, OH 45434-6395
(937) 320-7950
(937) 320-9332
Mailing address
9000 N MAIN ST, SUITE 332, DAYTON, OH 45415-1180
(937) 832-7337
(937) 832-4817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2566101
—
OH
Enumeration date
02/29/2008
Last updated
02/29/2008
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