Organization
KOLODZIK PHYSICIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL W. KOLODZIK M.D. (OWNER)
(937) 825-6220
Entity
Organization
Contact information
Practice address
1108 PAXON CT, BELLBROOK, OH 45305-8959
(937) 825-6220
Mailing address
1108 PAXON CT, BELLBROOK, OH 45305-8959
(937) 825-6220
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35052684
OH
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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