Organization
ALLIANCE PHYSICIANS INC
Active
Other names
Kettering Reproductive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3208
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 4100, KETTERING, OH 45429-1264
(937) 395-8444
(937) 395-8450
Mailing address
3533 SOUTHERN BLVD, SUITE 4100, KETTERING, OH 45429-1264
(937) 395-8444
(937) 395-8450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065832
—
OH
Enumeration date
05/31/2012
Last updated
04/05/2017
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