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Individual

DR. HARVEY THOMAS STATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3115 HENDERSON CT, SPRINGFIELD, OH 45503-1307
(937) 207-8620
Mailing address
3115 HENDERSON CT, SPRINGFIELD, OH 45503-1307
(937) 207-8620

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29301
OH

Other

Enumeration date
08/08/2013
Last updated
08/08/2013
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