Organization
DAYTON PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIRA B REDDY MD (OFFICE MANAGER)
(937) 222-2233
Entity
Organization
Contact information
Practice address
331 6TH AVE, SIDNEY, OH 45365-1040
(937) 497-9200
Mailing address
331 6TH AVE, SIDNEY, OH 45365-1040
(937) 497-9200
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35035932R
OH
Other
Enumeration date
03/28/2007
Last updated
07/12/2008
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