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Organization

ORTHOPEDIC ASSOCIATES OF S W OHIO

Active
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Organization

ORTHOPEDIC ASSOCIATES OF S W OHIO

Active
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Authorized official
MRS. ANGELA LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization

Contact information

Practice address
450B WASHINGTON JACKSON RD, EATON, OH 45320-8699
(937) 415-9100
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2831305
OH
01
DN6188
RR MEDICARE
OH
Enumeration date
03/14/2011
Last updated
06/26/2023
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