Organization
MIAMI VALLEY AMBULATORY SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARIMA GUPTA (CREDENTIALING SPECIALIST)
(937) 424-2215
Entity
Organization
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 252-2000
(937) 252-1224
Mailing address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 252-2000
(937) 252-1224
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009972
—
OH
Enumeration date
05/21/2007
Last updated
05/11/2023
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