Organization
OHIO MUSCULOSKELETAL SPORTS AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNCY L EAKINS M.D. (OWNER)
(937) 369-4933
Entity
Organization
Contact information
Practice address
320 ALBANY ST, DAYTON, OH 45417-3402
(937) 496-6200
Mailing address
2136 MCKINLEY AVE, CINCINNATI, OH 45224-1832
(973) 369-4933
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/02/2017
Last updated
01/29/2025
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