Organization
FERNANDO A. VILLARREAL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO ACOSTA VILLARREAL M.D. (OWNER)
(937) 294-3850
Entity
Organization
Contact information
Practice address
3080 ACKERMAN BLVD, SUITE 200, KETTERING, OH 45429-3555
(937) 294-3850
Mailing address
3080 ACKERMAN BLVD, SUITE 200, KETTERING, OH 45429-3555
(937) 294-3850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37990
OH
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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