Governor's Place Ambulatory Surgery Center LLC

NPI #1073828315 in Dayton, Ohio

Provider Information

NPI Number
1073828315
Entity Type
Organization
Organization Name
Governor's Place Ambulatory Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 11, 2010
Last Updated
Aug 11, 2010

Practice Location

Address
3025 GOVERNORS PLACE BLVD
City
Dayton
State
Ohio
ZIP Code
45409-1330
Phone
(937) 293-5567

Authorized Official

Name
DR. HEIDI B DONNELLY, MD
Title
OWNER/PRESIDENT CEO
Phone
(937) 293-5567

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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