Upper Valley Professional Corporation

NPI #1851490973 in Tipp City, Ohio

Provider Information

NPI Number: 1851490973
Entity Type: Organization
Organization Name: Upper Valley Professional Corporation
Primary Specialty: Family Medicine
Enumeration Date: Sep 22, 2006
Last Updated: Aug 20, 2010

Practice Location

Address: 450 N HYATT ST
Address 2: SUITE 202
City: Tipp City
State: Ohio
ZIP Code: 45371-1433
Phone: (937) 669-9978

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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