Individual
KATHERINE M. DEMASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3477
(937) 641-5410
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01062070A
IN
207L00000X
Anesthesiology Physician
35.127717
OH
207LP3000X
Pediatric Anesthesiology Physician
01062070A
IN
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.127717
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000609172
ANTHEM
IN
05
—
0173124
—
OH
05
—
200941620
—
IN
Enumeration date
09/06/2008
Last updated
10/10/2023
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