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Individual

WILLIAM R. BREEDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
3131 NEWMARK DR STE 220, MIAMISBURG, OH 45342-5400
(937) 436-4658
(937) 436-4984

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.121469
OH
207P00000X
Emergency Medicine Physician
R2427
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0089013
OH
Enumeration date
05/08/2010
Last updated
07/16/2019
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