Organization
DAYTON SPINE AND REHABILITATION MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KINNAIRD JOHNSON M.D. (MEDICAL DIRECTOR)
(937) 435-3620
Entity
Organization
Contact information
Practice address
2591 MIAMISBURG CENTERVILLE RD, STE 300, CENTERVILLE, OH 45459-3706
(937) 435-3620
(937) 435-3660
Mailing address
2591 MIAMISBURG CENTERVILLE RD, STE 300, CENTERVILLE, OH 45459-3706
(937) 435-3620
(937) 435-3660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200901300A
—
IN
05
—
2057045
—
OH
Enumeration date
05/18/2006
Last updated
06/20/2011
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