Beavertown Clinic INC

NPI #1902803703 in Kettering, Ohio

Provider Information

NPI Number: 1902803703
Entity Type: Organization
Organization Name: Beavertown Clinic INC
Primary Specialty: Family Medicine
Enumeration Date: Jul 7, 2005
Last Updated: Feb 23, 2010

Practice Location

Address: 3017 WILMINGTON PIKE
City: Kettering
State: Ohio
ZIP Code: 45429-4169
Phone: (937) 294-2555

Authorized Official

Name: DR. BERNARD J ROSE, M.D.
Title: PHYSICIAN
Phone: (937) 294-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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