Organization
DAYTON HEAD AND NECK SURGEONS
Active
Organization
DAYTON HEAD AND NECK SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL YOUNG (BUSINESS MANAGER)
(937) 496-2600
Entity
Organization
Contact information
Practice address
369 W 1ST ST, SUITE 400, DAYTON, OH 45402-3065
(937) 496-2600
(937) 496-2610
Mailing address
369 W 1ST ST, SUITE 400, DAYTON, OH 45402-3065
(937) 496-2620
(937) 496-2610
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
212203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000606049
ANTHEM
OH
Enumeration date
02/20/2009
Last updated
09/15/2009
Update your record
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