Upper Valley Professional Corporation

NPI #1720170038 in Tipp City, Ohio

Provider Information

NPI Number: 1720170038
Entity Type: Organization
Organization Name: Upper Valley Professional Corporation
Primary Specialty: Pediatrics
Enumeration Date: Sep 28, 2006
Last Updated: Aug 20, 2010

Practice Location

Address: 450 N HYATT ST
Address 2: SUITE 306
City: Tipp City
State: Ohio
ZIP Code: 45371-1433
Phone: (937) 440-8687

Authorized Official

Name: PAMELA RADER
Title: ADMINISTRATOR
Phone: (937) 440-7454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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