Organization
MVHE INC
Active
Other names
Woodcroft Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PRUNIER (PRESIDENT/CEO)
(937) 499-8205
Entity
Organization
Contact information
Practice address
4235 INDIAN RIPPLE RD, SUITE 210, BEAVERCREEK, OH 45440-3284
(937) 427-9671
(937) 427-9202
Mailing address
4235 INDIAN RIPPLE RD, SUITE 210, BEAVERCREEK, OH 45440-3284
(937) 427-9671
(937) 427-9202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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