Organization
PULMONARY MEDICINE OF DAYTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE ADCOCK (PRACTICE MANAGER)
(937) 439-3600
Entity
Organization
Contact information
Practice address
3535 SOUTHERN BLVD, SLEEP LAB, KETTERING, OH 45429
(937) 439-3600
(937) 439-3786
Mailing address
PO BOX 933242, CLEVELAND, OH 44193-0035
(937) 439-3600
(937) 439-3786
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0293507
—
OH
05
—
0958629
—
OH
Enumeration date
03/06/2007
Last updated
05/08/2024
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