Organization
DAYTON SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J. HENNIGAN (PRACTICE MANAGER)
(937) 228-4126
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL, SUITE 10A, DAYTON, OH 45417-3445
(937) 228-4126
(937) 228-0247
Mailing address
1 ELIZABETH PL, SUITE 10A, DAYTON, OH 45417-3445
(937) 228-4126
(937) 228-0247
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0339495
—
OH
Enumeration date
01/11/2007
Last updated
05/08/2012
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