Organization
CARDIOLOGY SPECIALISTS OF DAYTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BULOW DO (PRESIDENT)
(937) 454-9527
Entity
Organization
Contact information
Practice address
2510 COMMONS BLVD, SUITE 200B, BEAVERCREEK, OH 45431-3809
(937) 454-9527
(937) 454-9532
Mailing address
PO BOX 634766, CINCINNATI, OH 45263-0042
(440) 716-1283
(440) 716-1605
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0918449
—
OH
01
—
CL4019
RAILROAD MEDICARE
OH
Enumeration date
06/01/2007
Last updated
04/20/2008
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