Organization
COMMUNITY PHYSICIANS OF YELLOW SPRINGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL VANAUSDAL MD (PRESIDENT)
(937) 767-7291
Entity
Organization
Contact information
Practice address
1425 XENIA AVE, YELLOW SPRINGS, OH 45387-1121
(937) 376-3596
(937) 767-1302
Mailing address
1425 XENIA AVE, YELLOW SPRINGS, OH 45387-1121
(937) 376-3596
(937) 767-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35036419
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227641
—
OH
Enumeration date
07/22/2005
Last updated
08/22/2020
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