Organization
ALLIANCE PHYSICIANS INC
Active
Other names
Kettering Health Medical Group Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
415 BYERS RD, SUITE 300, MIAMISBURG, OH 45342-3696
(937) 866-2494
(937) 866-8494
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3011118
—
OH
Enumeration date
05/07/2009
Last updated
01/10/2023
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