Alliance Physician INC

NPI #1730461047 in Beavercreek, Ohio

Provider Information

NPI Number: 1730461047
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 9, 2013

Practice Location

Address: 2141 N FAIRFIELD RD
Address 2: SUITE B
City: Beavercreek
State: Ohio
ZIP Code: 45431-2579
Phone: (937) 458-0085

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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