Organization
ENDOSCOPY CENTER OF DAYTON NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HARTSHORN (OFFICER/AUTHORIZED OFFICIAL)
(314) 800-2017
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, SUITE 405, DAYTON, OH 45415-1180
(937) 320-5050
(937) 320-5060
Mailing address
75 SYLVANIA DR, DAYTON, OH 45440-3237
(937) 320-5050
(937) 320-5060
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0619AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2218504
—
OH
Enumeration date
07/18/2005
Last updated
09/17/2024
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