Organization
DAYTON PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIRA REDDY MD (PRACTICE MANAGER)
(937) 222-2233
Entity
Organization
Contact information
Practice address
1250 NATIONAL RD, STE 100 B, CLAYTON, OH 45315-9505
(937) 222-2233
(937) 222-9665
Mailing address
1 ELIZABETH PL, STE D, DAYTON, OH 45408-1445
(937) 222-2233
(937) 222-9665
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2442968
—
OH
Enumeration date
06/24/2008
Last updated
06/24/2008
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