Organization
ALLIANCE PHYSICIANS, INC.
Active
Other names
Sleep Disorders Centers-Kettering Health Network
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
3095 DAYTON XENIA RD, SUITE 900, BEAVERCREEK, OH 45434-4305
(937) 458-4010
(937) 912-0169
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120816
—
OH
Enumeration date
01/16/2015
Last updated
10/04/2019
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