Individual
DR. MARTHA MONICA CORRADINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE ELIZABETH PLACE, DAYTON, OH 45408
(937) 229-9800
Mailing address
2428 PATRICK BOULEVARD, DAYTON, OH 45431
(937) 431-1537
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
35-07-2691-C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052380
—
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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