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1911 N Fairfield Rd Ste 130 Beavercreek OH 45432-2754 | |
| (937) 702-9655 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1911 N Fairfield Rd Ste 130, Beavercreek, Ohio |
| Authorized Official Name and Position | Tina Digiorgio (CLINIC OWNER) |
| Authorized Official Contact | 9376037003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1911 N Fairfield Rd Ste 130 Beavercreek OH 45432-2754 Ph: (937) 702-9655 | 1911 N Fairfield Rd Ste 130 Beavercreek OH 45432-2754 Ph: (937) 702-9655 |
| NPI Number | 1073326880 |
|---|---|
| Provider Enumeration Date | 01/28/2025 |
| Last Update Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073326880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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