Organization
DAYTON CARDIOLOGY CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY NAYLOR (SCHEDULING MGR)
(937) 223-3053
Entity
Organization
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 223-3053
(937) 853-0166
Mailing address
1126 S MAIN ST, DAYTON, OH 45409-2616
(937) 223-3053
(937) 853-0166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0965871
—
OH
01
—
CL9186
RAILROAD MEDICARE
OH
Enumeration date
07/28/2008
Last updated
09/11/2008
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