Organization
WRIGHT STATE PHYSICIANS INC
Active
Parent organization
WRIGHT STATE PHYSICIANS INC
Other names
Wright State Physicians Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
WRIGHT STATE PHYSICIANS INC
Authorized official
MARGARET DUNN MD (PRESIDENT/ CEO)
(937) 259-9900
Entity
Organization
Contact information
Practice address
2200 PHILADELPHIA DR, SUITE 400, DAYTON, OH 45406-1840
(937) 276-2642
(937) 276-4419
Mailing address
5100 SPRINGFIELD ST, SUITE 400, DAYTON, OH 45431-1261
(937) 259-9900
(937) 259-9999
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914443
—
OH
01
—
1114920329
PARENT LBN
—
Enumeration date
03/18/2009
Last updated
05/21/2009
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