Organization
FLAVILL INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC C. FLAVILL MD (OWNER)
(937) 283-2020
Entity
Organization
Contact information
Practice address
630 W MAIN ST, SUITE 105, WILMINGTON, OH 45177-2170
(937) 283-2020
(937) 283-2021
Mailing address
630 W MAIN ST, SUITE 105, WILMINGTON, OH 45177-2170
(937) 283-2020
(937) 283-2021
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.121145
OH
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
35.121145
OH
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
35.121145
OH
Other
Enumeration date
08/02/2013
Last updated
03/05/2017
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