| Community Physicians Of Yellow Springs | |
|
1425 Xenia Ave Yellow Springs OH 45387-1121 | |
| (937) 767-7291 | |
| (937) 767-1302 |
| Full Name | Community Physicians Of Yellow Springs |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 Xenia Ave, Yellow Springs, Ohio |
| Authorized Official Name and Position | Daniel D Haibach (DIRECTOR BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9375583222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Physicians Of Yellow Springs 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 | Community Physicians Of Yellow Springs 1425 Xenia Ave Yellow Springs OH 45387-1121 Ph: (937) 767-7291 |
| NPI Number | 1093091324 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093091324 | NPI | - | NPPES |
| 2639630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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