Organization
WRIGHT STATE PHYSICIANS INC
Active
Parent organization
WRIGHT STATE PHYSICIANS INC
Other names
Wright State Physicians Surgery Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WRIGHT STATE PHYSICIANS INC
Authorized official
MARGARET DUNN MD (PRESIDENT/CEO)
(937) 245-7100
Entity
Organization
Contact information
Practice address
1222 S PATTERSON BLVD, SUITE 220, DAYTON, OH 45402-2684
(937) 424-2469
(937) 424-2479
Mailing address
725 UNIVERSITY BLVD, FAIRBORN, OH 45324-0000
(937) 245-7100
(937) 245-7999
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0914443
—
OH
01
—
1114920329
PARENT LBN
—
Enumeration date
03/14/2009
Last updated
03/22/2013
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