Organization
FLY FAMILY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL BERRY (CREDENTIALING MANAGER)
(323) 676-1281
Entity
Organization
Contact information
Practice address
829 SAINT MARYS AVE, SIDNEY, OH 45365-1359
(937) 606-4275
Mailing address
829 SAINT MARYS AVE, SIDNEY, OH 45365-1359
(937) 606-4275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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