Organization
DERMATOLOGISTS OF SOUTHWESTERN OHIO, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C. LEPAGE M.D. (AUTHORIZED OFFICIAL)
(937) 433-7536
Entity
Organization
Contact information
Practice address
7691 5 MILE RD, SUITE 312, CINCINNATI, OH 45230-4348
(513) 232-3332
(513) 232-9635
Mailing address
5300 FAR HILLS AVE, DAYTON, OH 45429-2381
(937) 433-7536
(937) 433-9612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004150
OH
Other
Enumeration date
09/06/2015
Last updated
10/16/2017
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