| Infectious Disease Physicians Of Dayton Llc | |
|
9000 N Main St Infusion Services Dayton OH 45415-1180 | |
| (937) 279-5803 | |
| (937) 279-5873 |
| Full Name | Infectious Disease Physicians Of Dayton Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 9000 N Main St, Dayton, Ohio |
| Authorized Official Name and Position | Timothy B. Sorg (SOLE PROPRIETOR) |
| Authorized Official Contact | 9378850464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Physicians Of Dayton Llc Po Box 652 Springboro OH 45066-0652 Ph: (937) 885-0464 | Infectious Disease Physicians Of Dayton Llc 9000 N Main St Infusion Services Dayton OH 45415-1180 Ph: (937) 279-5803 |
| NPI Number | 1023311990 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023311990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 35-05-3064 (Ohio) | Primary |
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