Organization
EAST SURGICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA R WELDER MD (PRESIDENT)
(937) 393-9494
Entity
Organization
Contact information
Practice address
1404 NORTH HIGH ST, HILLSBORO, OH 45133
(937) 393-9494
(937) 393-8471
Mailing address
BOX 839, 1404 NORTH HIGH ST, HILLSBORO, OH 45133
(937) 393-9494
(937) 393-8471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35050873
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560834
—
OH
Enumeration date
01/24/2006
Last updated
08/22/2020
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