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Organization

MVHE INC

Active
Parent organization
MVHE INC
Other names
South Dayton Family Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
MVHE INC
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8213
Entity
Organization

Contact information

Practice address
1525 E STROOP RD, SUITE 200, KETTERING, OH 45429-5065
(937) 208-7400
(937) 208-7405
Mailing address
1525 E STROOP RD, SUITE 200, KETTERING, OH 45429-5065
(937) 208-7400
(937) 208-7405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0160169
OH
Enumeration date
05/18/2006
Last updated
08/27/2012
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