Alliance Physician INC

NPI #1205118692 in Miamisburg, Ohio

Provider Information

NPI Number: 1205118692
Entity Type: Organization
Organization Name: Alliance Physician INC
Subpart: Yes (part of a larger organization)
Parent Organization: ALLIANCE PHYSICIAN INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 4000 MIAMISBURG CENTERVILLE RD
Address 2: SUITE 410B
City: Miamisburg
State: Ohio
ZIP Code: 45342-7615
Phone: (937) 384-0790

Authorized Official

Name: DANIEL D HAIBACH
Title: DIRECTOR BUSINESS DEVELOPMENT
Phone: (937) 558-3222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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