Organization
CLINICAL OXYGEN PROVIDERS OF DAYTON, LLC
Active
Other names
PRO2 Respiratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. MOORE (MANAGER)
(513) 842-6804
Entity
Organization
Contact information
Practice address
532 GRANT ST, TROY, OH 45373-3124
(937) 339-7702
(937) 339-7705
Mailing address
532 GRANT ST, TROY, OH 45373-3124
(937) 339-7702
(937) 339-7705
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
22266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2371348
—
OH
Enumeration date
12/18/2006
Last updated
05/21/2008
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