Providence Medical Group, Inc.
NPI #1659726768 in Moraine, Ohio
Provider Information
- NPI Number
- 1659726768
- Entity Type
- Organization
- Organization Name
- Providence Medical Group, Inc.
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Apr 26, 2016
- Last Updated
- Apr 26, 2016
Practice Location
Authorized Official
- Name
- SUSAN J. BECKER
- Title
- CHIEF OPERATING OFFICER
- Phone
- (937) 297-8999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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