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Organization

DAYTON VETERAN AFFAIRS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE N. LEE CNMT, RT(N) (NUCLEAR MEDICINE TECHNOLOGIST)
(937) 268-6511
Entity
Organization

Contact information

Practice address
4100 W. THIRD ST, DAYTON, OH 45429
(937) 268-6511
Mailing address
4939 WOODMAN PARD DR, APT 14, DAYTON, OH 45432

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
028817
OH
282N00000X
General Acute Care Hospital
416313
OH
282N00000X
General Acute Care Hospital
Primary
N8859799
OH

Other

Enumeration date
04/13/2007
Last updated
08/22/2020
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