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Organization

ALLIANCE PHYSICIANS, INC.

Active
Parent organization
ALLIANCE PHYSICIANS, INC.
Other names
Village Green Primary Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLIANCE PHYSICIANS, INC.
Authorized official
TIMOTHY Y KO (CFO)
(937) 558-3223
Entity
Organization

Contact information

Practice address
945 DEIS DR, FAIRFIELD, OH 45014-8130
(513) 858-2666
(513) 858-2685
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3660
(937) 384-4838
(937) 384-4845

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070182
OH
Enumeration date
08/09/2012
Last updated
10/04/2019
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