Organization
ALLIANCE PHYSICIANS INC
Active
Parent organization
ALLIANCE PHYSICIAN INC
Other names
South Dayton Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICIAN INC
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
10 SOUTHMOOR CIR NW, KETTERING, OH 45429-2486
(937) 294-1489
(937) 297-6468
Mailing address
10050 INNOVATION DR, SUITE 200, MIAMISBURG, OH 45342-4931
(937) 558-3208
(937) 558-3247
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059480
—
OH
Enumeration date
09/13/2011
Last updated
10/04/2019
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