Organization
DAYTON PHYSICIANS, LLC
Active
Other names
Dayton Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA SERGENT (CREDENTIALING SPECIALIST)
(937) 280-8366
Entity
Organization
Contact information
Practice address
3120 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1328
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE, SUITE 200, DAYTON, OH 45414
(937) 280-8366
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35077949
OH
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
35055113
OH
2085R0001X
Radiation Oncology Physician
35070882R
OH
208800000X
Urology Physician
35036788
OH
3336C0002X
Clinic Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2609172
—
OH
Enumeration date
06/03/2006
Last updated
02/29/2024
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