Organization
ORTHOPEDIC ASSOCIATES OF SW OHIO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization
Contact information
Practice address
4160 LITTLE YORK ROAD, SUITE 10, DAYTON, OH 45414-3475
(937) 415-9100
(937) 415-9191
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-3130
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831305
—
OH
01
—
DN6188
RR MEDICARE
OH
Enumeration date
04/02/2008
Last updated
12/23/2011
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