Organization
ORTHOPEDIC RECONSTRUCTIVE SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH P POHL M.D. (PRESIDENT)
(937) 433-2054
Entity
Organization
Contact information
Practice address
5692 FAR HILLS AVE, SUITE 4, DAYTON, OH 45429-2239
(937) 433-2054
(937) 433-1069
Mailing address
5692 FAR HILLS AVE, SUITE 4, DAYTON, OH 45429-2239
(937) 433-2054
(937) 433-1069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35032228P
OH
Other
Enumeration date
06/29/2007
Last updated
07/10/2007
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