Organization
ORTHOPEDIC ASSOC OF SPRINGFIELD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOSHIR E DEBOO MD (PRESIDENT)
(937) 399-7831
Entity
Organization
Contact information
Practice address
1822 N LIMESTONE ST, SPRINGFIELD, OH 45503-2628
(937) 399-7831
(937) 399-3731
Mailing address
1822 N LIMESTONE ST, SPRINGFIELD, OH 45503-2628
(937) 399-7831
(937) 399-3731
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006848
ANTHEM
—
05
—
0302256
—
OH
01
—
0920049
UNITED HEALTH CARE
—
Enumeration date
05/02/2006
Last updated
03/20/2012
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