Organization
THE ORTHOPAEDIC CENTER FOR SPINAL & PEDIATRIC CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK M THEODOR (PRACTICE ADMINISTRATOR)
(937) 641-3010
Entity
Organization
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3010
(937) 641-5003
Mailing address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-3010
(937) 641-5003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155448
—
OH
Enumeration date
02/01/2012
Last updated
02/01/2012
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