| University Medicine & Pediatrics | |
|
1 Elizabeth Pl Nwg, Suite 500 Dayton OH 45408-1445 | |
| (937) 443-0354 | |
| (937) 443-0478 |
| Full Name | University Medicine & Pediatrics |
|---|---|
| Speciality | Pediatrics |
| Location | 1 Elizabeth Pl, 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 |
|---|---|
| University Medicine & Pediatrics 1 Elizabeth Pl Nwg, Suite 500 Dayton OH 45408-1445 Ph: (937) 443-0354 | University Medicine & Pediatrics 1 Elizabeth Pl Nwg, Suite 500 Dayton OH 45408-1445 Ph: (937) 443-0354 |
| NPI Number | 1861445116 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861445116 | NPI | - | NPPES |
| 0122110 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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