Organization
DAYTON NEUROLOGIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P VERDON D.O. (PRESIDENT)
(814) 440-5953
Entity
Organization
Contact information
Practice address
8805 N MAIN ST, DAYTON, OH 45415-1333
(937) 797-3137
(937) 972-0445
Mailing address
PO BOX 203, DAYTON, OH 45409-0203
(937) 797-3137
(937) 972-0445
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331658
—
OH
01
—
7755330001
MEDICARE DME PTAN
OH
01
—
DZ0946
RRMEDICARE PTAN
OH
01
—
H698970
MEDICARE PTAN
OH
Enumeration date
01/17/2019
Last updated
07/29/2024
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