A Brand New Horizon

Specialty details in registry · Huber Heights, OH

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At a glance

4752 Fishburg Road, Huber Heights, OH 45424-5455

NPPES record updated Jul 2, 2024. Public records can lag behind changes at a practice.

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Practice location

4752 Fishburg Road Suite G
Huber Heights, OH 45424-5455

Professional details: NPI, taxonomy & registry record

NPI1760693758

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251E00000X
Enumeration date: May 24, 2007
Record updated: Jul 2, 2024

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4752 Fishburg Road
Suite G
Huber Heights, OH 45424-5455

Phone: (937) 233-3720
Fax: (937) 233-3726

Mailing address

4752 FISHBURG ROAD
SUITE G
HUBER HEIGHTS, OH 454245455

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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