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Organization

SOUTHWEST OHIO ENT SPECIALISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL E YOUNG (BUSINESS MANAGER)
(937) 496-2620
Entity
Organization

Contact information

Practice address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610
Mailing address
1222 S PATTERSON BLVD, SUITE 400, DAYTON, OH 45402-2684
(937) 496-2600
(937) 496-2610

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0804697
OH
Enumeration date
01/26/2006
Last updated
01/14/2013
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