Samuel J. Daisley D.o. Inc.

NPI #1023143823 in Andover, Ohio

Provider Information

NPI Number: 1023143823
Entity Type: Organization
Organization Name: Samuel J. Daisley D.o. Inc.
Primary Specialty: Family Medicine
Enumeration Date: Feb 22, 2007
Last Updated: Dec 3, 2009

Practice Location

Address: 149 E MAIN ST # 1117
City: Andover
State: Ohio
ZIP Code: 44003-9479
Phone: (440) 293-5555

Authorized Official

Name: SAMUEL J DAISLEY, D.O.
Title: PRESIDENT
Phone: (440) 293-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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