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Organization

UVPC SPECIALISTS, INC.

Active
Other names
Upper Valley ENT
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA RADER (ADMINISTRATOR)
(937) 440-7454
Entity
Organization

Contact information

Practice address
31 S STANFIELD RD, SUITE 306, TROY, OH 45373-2374
(937) 335-5806
(937) 440-7219
Mailing address
PO BOX 425, TROY, OH 45373-0425
(937) 335-5806
(937) 440-7219

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2718509
OH
Enumeration date
05/14/2007
Last updated
08/20/2010
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