Organization
ALLIANCE PHYSICIANS, INC.
Active
Other names
Surgical Associates of Greene County
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization
Contact information
Practice address
244 WILSON DR, XENIA, OH 45385-1864
(937) 372-1602
(937) 372-0154
Mailing address
1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 45342-3794
(937) 752-2306
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097818
—
OH
Enumeration date
02/04/2014
Last updated
10/04/2019
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