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Individual

DR. ANASTAZIA MARIE AGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3000
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.122283
OH
2084N0400X
Neurology Physician
Primary
35.122283
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106015
OH
Enumeration date
07/07/2011
Last updated
02/20/2025
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