Organization
ORTHOPEDIC ASSOCIATES OF SHELBY COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L STOVER D.O. (PRESIDENT)
(937) 497-9810
Entity
Organization
Contact information
Practice address
1529 FAIR RD, SIDNEY, OH 45365-8193
(937) 497-9810
(937) 497-1334
Mailing address
1529 FAIR RD, SIDNEY, OH 45365-8193
(937) 497-9810
(937) 497-1334
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0964210
—
OH
05
—
0971499
—
OH
Enumeration date
11/17/2006
Last updated
12/10/2010
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