Organization
ALLIANCE PHYSICIAN INC
Active
Parent organization
ALLIANCE PHYSICIAN INC
Other names
Kettering Cancer & Blood Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIANCE PHYSICIAN INC
Authorized official
DUANE A SHELDON (DIRECTOR OF REVENUE CYCLE)
(912) 424-8443
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 3750, KETTERING, OH 45429-1264
(937) 395-8304
(937) 395-6004
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2712872
—
OH
Enumeration date
09/08/2011
Last updated
03/05/2013
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