Individual
GINA RENEE GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 W MAIN ST, SPRINGFIELD, OH 45502-1368
(937) 342-3130
Mailing address
2143 CHAPEL DR, FAIRBORN, OH 45324-6430
(937) 869-2508
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
50.007112RX
OH
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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