Organization
HEALTH SPECIALISTS OF DAYTON INC
Active
Parent organization
HEALTH SPECIALISTS OF DAYTON INC
Other names
Weight Loss Center of Dayton
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH SPECIALISTS OF DAYTON INC
Authorized official
KENNETH PRUNIER (CEO PRESIDENT)
(937) 208-8252
Entity
Organization
Contact information
Practice address
30 E APPLE ST, SUITE 6258, DAYTON, OH 45409-2939
(000) 000-0000
(937) 208-5650
Mailing address
30 E APPLE ST, SUITE 6258, DAYTON, OH 45409-2939
(937) 208-5650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2511491
—
OH
Enumeration date
01/31/2007
Last updated
03/12/2008
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