Organization
ASTHMA AND RESPIRATORY CENTER OF SOUTH DAYTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED ARTHUR WAGSHUL M.D. (OWNER/ CEO)
(937) 859-5864
Entity
Organization
Contact information
Practice address
8371 YANKEE ST, CENTERVILLE, OH 45458-1810
(937) 859-5864
Mailing address
PO BOX 636746, CINCINNATI, OH 45263-0001
(937) 859-5864
(937) 859-8858
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2310369
—
OH
Enumeration date
12/20/2007
Last updated
01/10/2023
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