Alliance Physician INC

NPI #1629350020 in Kettering, Ohio

Provider Information

NPI Number: 1629350020
Entity Type: Organization
Organization Name: Alliance Physician INC
Subpart: Yes (part of a larger organization)
Parent Organization: ALLIANCE PHYSICIAN INC
Primary Specialty: Surgery
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 3737 SOUTHERN BLVD
Address 2: SUITE 2000A
City: Kettering
State: Ohio
ZIP Code: 45429-1262
Phone: (937) 610-1915

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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