Basic Information
| Provider Information | |||||||||
| NPI: | 1811141559 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAYTON PHYSICIANS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 635098 | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452635098 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372808350 | ||||||||
| FaxNumber: | 9372808373 | ||||||||
| Practice Location | |||||||||
| Address1: | 9000 N MAIN ST SUITE 333 | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45415 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9378328400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2008 | ||||||||
| LastUpdateDate: | 11/07/2008 | ||||||||
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| AuthorizedOfficialLastName: | BAIRD | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 9372808358 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.