| Banded Killifish Inpatient Services Llc | |
|
610 W Main St Wilmington OH 45177-2125 | |
| (469) 401-2386 | |
| Not Available |
| Full Name | Banded Killifish Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 610 W Main St, Wilmington, Ohio |
| Authorized Official Name and Position | Gregory Byrne (PRESIDENT) |
| Authorized Official Contact | 4694012386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banded Killifish Inpatient Services Llc 13737 Noel Rd Ste 1600 Dallas TX 75240-1331 Ph: (469) 401-2386 | Banded Killifish Inpatient Services Llc 610 W Main St Wilmington OH 45177-2125 Ph: (469) 401-2386 |
| NPI Number | 1063801108 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063801108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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