| Northwest Dayton Physicians | |
|
3535 Salem Ave Ste 201 Dayton OH 45406-2645 | |
| (937) 274-0040 | |
| (937) 275-1750 |
| Full Name | Northwest Dayton Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 3535 Salem Ave, Dayton, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Dayton Physicians 3535 Salem Ave Ste 201 Dayton OH 45406-2645 Ph: (937) 274-0040 | Northwest Dayton Physicians 3535 Salem Ave Ste 201 Dayton OH 45406-2645 Ph: (937) 274-0040 |
| NPI Number | 1821041898 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821041898 | NPI | - | NPPES |
| 2560616 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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