Organization
STAR PEDIATRICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BOND (OFFICE MANAGER)
(937) 376-5437
Entity
Organization
Contact information
Practice address
1659 W 2ND ST, XENIA, OH 45385-4205
(937) 376-5437
(937) 376-8038
Mailing address
1659 W 2ND ST, XENIA, OH 45385-4205
(937) 376-5437
(937) 376-8038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033516
—
OH
Enumeration date
03/13/2007
Last updated
08/22/2020
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