Organization
MEDWELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE E IMBROGNO M.D. (OWNER/PRESIDENT)
(937) 449-0800
Entity
Organization
Contact information
Practice address
1435 CINCINNATI ST, SUITE 100, DAYTON, OH 45417-4614
(937) 449-0800
(937) 449-0881
Mailing address
1435 CINCINNATI ST, SUITE 100, DAYTON, OH 45417-4614
(937) 449-0800
(937) 449-0881
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
35.048194
OH
261QU0200X
Urgent Care Clinic/Center
Primary
35048194
OH
Other
Enumeration date
06/10/2015
Last updated
06/22/2015
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