Organization
WRIGHT STATE PHYSICIANS INC
Active
Parent organization
WRIGHT STATE PHYSICIANS INC
Other names
Wright State Physicians Plastic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WRIGHT STATE PHYSICIANS INC
Authorized official
MARGARET DUNN MD (CEO/PRESIDENT)
(937) 245-7100
Entity
Organization
Contact information
Practice address
2200 PHILADELPHIA DR, SUITE 651, DAYTON, OH 45406-1840
(937) 208-3999
(937) 208-6154
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914443
—
OH
01
—
1649447582
ASC/FACILITY SUB PART NPI
—
Enumeration date
04/06/2009
Last updated
01/02/2014
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