Organization
ORTHOPEDIC ASSOCIATES OF S W OHIO INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MARIE LAYMAN (CREDENTIALING COORDINATOR)
(937) 415-9100
Entity
Organization
Contact information
Practice address
1002 RAINBOW CT, FAIRBORN, OH 45324-6365
(800) 824-9861
Mailing address
4160 LITTLE YORK RD STE 10, DAYTON, OH 45414-5803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831305
—
OH
Enumeration date
10/13/2017
Last updated
01/06/2022
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