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Organization

WRIGHT STATE PHYSICIANS

Active
Parent organization
WRIGHT STATE PHYSICIANS INC
Other names
Wright State Physicians Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
WRIGHT STATE PHYSICIANS INC
Authorized official
MARGARET DUNN MD (PRESIDENT/CEO)
(937) 245-7100
Entity
Organization

Contact information

Practice address
30 E APPLE ST, SUITE 5253, DAYTON, OH 45409-2939
(937) 208-2552
(937) 208-6154
Mailing address
725 UNIVERSITY BLVD, FAIRBORN, OH 45324-0000
(937) 245-7100
(937) 245-7999

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0102X
Surgical Critical Care Physician
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0914443
OH
Enumeration date
03/06/2009
Last updated
03/22/2013
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