Individual
DAVID S PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 BYERS RD, STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Mailing address
415 BYERS RD, STE 300, MIAMISBURG, OH 45342-3684
(937) 866-2494
(937) 866-8494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35055471P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0688402
—
OH
01
—
P00708912
RAILROAD MEDICARE
OH
01
—
PA 0626213
PTAN
—
Enumeration date
01/04/2006
Last updated
01/06/2021
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