Organization
ROOSEVELT SURGICAL ASSOCIATES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA GARNER (OFFICE MANAGER)
(513) 424-0941
Entity
Organization
Contact information
Practice address
4040 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-6619
(513) 424-0941
(513) 424-9758
Mailing address
4040 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-6619
(513) 424-0941
(513) 424-9758
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0973138
—
OH
Enumeration date
06/04/2006
Last updated
10/10/2018
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