Organization
MVHE INC
Active
Parent organization
MVHE INC
Other names
Bull Family Diabetes Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MVHE INC
Authorized official
KENNETH PRUNIER (PRESIDENT/CEO)
(937) 208-8213
Entity
Organization
Contact information
Practice address
1222 S PATTERSON BLVD, STE #210, DAYTON, OH 45402-2684
(937) 208-9090
(937) 208-9075
Mailing address
1222 S PATTERSON BLVD, STE #210, DAYTON, OH 45402-2684
(937) 208-9090
(937) 208-9075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2777482
—
OH
Enumeration date
07/11/2007
Last updated
11/06/2013
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