Organization
DAYTON INTERVENTIONAL RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MILLER MD (SR. VICE PRESIDENT)
(610) 644-8900
Entity
Organization
Contact information
Practice address
3075 GOVERNORS PLACE BLVD, KETTERING, OH 45409-1323
(937) 765-3113
Mailing address
PO BOX 412865, BOSTON, MA 02241-2865
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
36.003246
OH
Other
Enumeration date
12/16/2005
Last updated
10/13/2021
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