Organization
DAYTON CENTER FOR NEUROLOGICAL DISORDERS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PUGAR D.O. (OWNER/D.O.)
(937) 439-6186
Entity
Organization
Contact information
Practice address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 723-2638
Mailing address
1975 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459-3811
(937) 439-6186
(937) 723-2638
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.019636
LICENSE
OH
Enumeration date
10/26/2016
Last updated
10/26/2016
Update your record
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