Organization
HEARTLAND THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI ISA MUBARAK M.D. (OWNER)
(937) 701-0030
Entity
Organization
Contact information
Practice address
8658 N MAIN ST, DAYTON, OH 45415-1328
(937) 701-0030
(937) 387-9043
Mailing address
8658 N MAIN ST, DAYTON, OH 45415-1328
(937) 701-0030
(937) 387-9043
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
35051593
OH
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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