Organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Active
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Authorized official
ANGELA M LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization
Contact information
Practice address
7677 YANKEE ST, SUITE 110, CENTERVILLE, OH 45459-3475
(937) 415-9100
(937) 415-9191
Mailing address
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414-5800
(937) 428-0400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831305
—
OH
Enumeration date
06/17/2010
Last updated
06/17/2010
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