Alliance Physician INC

NPI #1871875179 in Tipp City, Ohio

Provider Information

NPI Number: 1871875179
Entity Type: Organization
Organization Name: Alliance Physician INC
Subpart: Yes (part of a larger organization)
Parent Organization: ALLIANCE PHYSICIAN INC
Primary Specialty: Family Medicine
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 110 S TIPPECANOE DR
Address 2: SUITE B
City: Tipp City
State: Ohio
ZIP Code: 45371-3111
Phone: (937) 667-0400

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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