Organization
WRIGHT STATE PHYSICIANS INC
Active
Parent organization
WRIGHT STATE PHYSICIANS INC
Other names
Wright State Physicians Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
WRIGHT STATE PHYSICIANS INC
Authorized official
ALAN MARCO MD (PRESIDENT/CEO)
(937) 245-7100
Entity
Organization
Contact information
Practice address
30 E APPLE ST, STE 2200, DAYTON, OH 45409-2939
(937) 208-2091
(937) 208-6141
Mailing address
725 UNIVERSITY BLVD, DAYTON, OH 45435-0001
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
821388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914443
—
OH
01
—
1114920329
PARENT COMPANY NPI
—
Enumeration date
01/10/2008
Last updated
06/12/2014
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