Organization
DAYTON OSTEOPATHIC HOSPITAL
Active
Other names
Grandview Hospital - Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J KING (CFO/VP)
(937) 723-3414
Entity
Organization
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3200
Mailing address
3180 KETTERING BLVD, MORAINE, OH 45439-1924
(937) 297-6072
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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