Organization
SOUTH DAYTON SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA WILSON (PRACTICE MANAGER)
(937) 534-0330
Entity
Organization
Contact information
Practice address
3533 SOUTHERN BLVD, SUITE 2250, KETTERING, OH 45429-1270
(937) 534-0330
(937) 534-0340
Mailing address
3533 SOUTHERN BLVD., SUITE 2250, KETTERING, OH 45429-1264
(937) 534-0330
(937) 534-0340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OH
Other
Enumeration date
08/17/2006
Last updated
04/16/2014
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