Individual
PATRICK A VAGLIENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-4600
(937) 339-4056
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35078615V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315978
ANTHEM
OH
05
—
0570832
—
OH
05
—
2197902
—
OH
Enumeration date
05/25/2006
Last updated
11/06/2008
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