Organization
RANDALL C OREM DO INC
Active
Other names
Advanced Cardiovascular Services
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL C OREM DO (PRESIDENT)
(937) 497-1200
Entity
Organization
Contact information
Practice address
1103 FAIRINGTON DR, SIDNEY, OH 45365-8130
(937) 497-1200
(937) 497-7013
Mailing address
1103 FAIRINGTON DR, SIDNEY, OH 45365-8130
(937) 497-1200
(937) 497-7013
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138305
—
OH
Enumeration date
03/20/2008
Last updated
03/20/2008
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