Individual
DR. GARY E TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3180 KETTERING BLVD, DAYTON, OH 45439-1924
(937) 297-6072
(937) 293-0969
Mailing address
5750 STONE LAKE DR, DAYTON, OH 45429-6053
(937) 439-5151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34006234
OH
207L00000X
Anesthesiology Physician
39175
CO
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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