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Organization

ALLIANCE PHYSICIAN INC

Active
Parent organization
ALLIANCE PHYSICIAN INC
Other names
Steven P Young
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLIANCE PHYSICIAN INC
Authorized official
DANIEL D HAIBACH (DIRECTOR BUSINESS DEVELOPMENT)
(937) 558-3222
Entity
Organization

Contact information

Practice address
425 W GRAND AVE, SUITE 1003, DAYTON, OH 45405-4776
(937) 723-5898
(937) 461-6038
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2712872
OH
Enumeration date
09/13/2011
Last updated
09/13/2011
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