Carillon Family Practice Ltd

NPI #1366429342 in Kettering, Ohio

Provider Information

NPI Number: 1366429342
Entity Type: Organization
Organization Name: Carillon Family Practice Ltd
Primary Specialty: Family Medicine
Enumeration Date: Dec 29, 2005
Last Updated: Dec 17, 2009

Practice Location

Address: 2501 S DIXIE DR
City: Kettering
State: Ohio
ZIP Code: 45409-1523
Phone: (937) 643-3083

Authorized Official

Name: ANNETTE M CHAVEZ, MD
Title: OWNER/PHYSICIAN
Phone: (937) 643-3083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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