Organization
FAR HILLS OB GYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM S PALMER (PRACTICE ADMINISTRATOR)
(937) 435-6222
Entity
Organization
Contact information
Practice address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
(937) 438-8451
Mailing address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
(937) 438-8451
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
207VX0000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147224
—
OH
05
—
3120714
—
OH
01
—
H095791
PTAN
—
Enumeration date
07/20/2007
Last updated
01/20/2022
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