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Specialty details in registry · Fairborn, OH
At a glance
7800 Dayton Springfield Rd, Fairborn, OH 45324-1997
NPPES record updated Mar 8, 2024. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
7800 Dayton Springfield RdFairborn, OH 45324-1997
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 310400000X
- Enumeration date
- Mar 8, 2024
- Record updated
- Mar 8, 2024
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
310400000X · Primary
Specialty details in registry
311500000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
7800 Dayton Springfield RdFairborn, OH 45324-1997
- Phone
- (937) 864-1500
Mailing address
7800 DAYTON SPRINGFIELD RDFAIRBORN, OH 453241997
Information may be outdated or incomplete.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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