Organization
UPPER VALLEY PROFESSIONAL CORPORATION
Active
Other names
Upper Valley Hospitalist Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W SHAW (VP OF MANAGED CARE)
(937) 499-8834
Entity
Organization
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-7177
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4466
(937) 440-7177
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616404
—
OH
Enumeration date
06/15/2012
Last updated
03/21/2013
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