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Organization

DAVID NICHOLSON DO, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID SCOTT NICHOLSON D.O. (PHYSICIAN/OWNER)
(937) 310-1218
Entity
Organization

Contact information

Practice address
4403 STATE ROUTE 725 STE A1, BELLBROOK, OH 45305-2700
(937) 310-1218
(937) 310-1378
Mailing address
4403 STATE ROUTE 725 STE A1, BELLBROOK, OH 45305-2700
(937) 310-1218
(937) 310-1378

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34008874
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087014
OH
Enumeration date
07/18/2013
Last updated
04/26/2023
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