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Individual

MR. PHILIP J. WINTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7381 MIDDLEPORT DR, DAYTON, OH 45459-3560
(937) 298-3111
Mailing address
7381 MIDDLEPORT DR, DAYTON, OH 45459-3560
(937) 298-3111

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000224
BLUE CROSS/BLUE SHIELD
OH
05
0761813
OH
Enumeration date
09/20/2006
Last updated
10/01/2008
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