Organization
ORTHOPEDIC ASSOCIATES OF SW OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization
Contact information
Practice address
832 CENTRAL AVE, GREENVILLE, OH 45331-1206
(937) 415-9100
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831305
—
OH
01
—
DN6188
RR MEDICARE
OH
Enumeration date
04/25/2012
Last updated
10/18/2013
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