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Organization

TED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS E DUNAWAY M.D. (OWNER)
(937) 325-7450
Entity
Organization

Contact information

Practice address
38 S BURNETT RD, SPRINGFIELD, OH 45505-1441
(937) 325-7450
(937) 325-7458
Mailing address
38 S BURNETT RD, SPRINGFIELD, OH 45505-1441
(937) 325-7450
(937) 325-7458

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35042438
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0419256
OH
Enumeration date
02/08/2008
Last updated
01/25/2010
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