| Woodcroft Family Practice | |
|
4235 Indian Ripple Rd Suite 210 Dayton OH 45440-3284 | |
| (937) 427-9202 | |
| (937) 427-9671 |
| Full Name | Woodcroft Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 4235 Indian Ripple Rd, Dayton, Ohio |
| Authorized Official Name and Position | Joseph Scott Leithold (PRESIDENT) |
| Authorized Official Contact | 9374279202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodcroft Family Practice 4235 Indian Ripple Rd Suite 210 Dayton OH 45440-3284 Ph: (937) 427-9202 | Woodcroft Family Practice 4235 Indian Ripple Rd Suite 210 Dayton OH 45440-3284 Ph: (937) 427-9202 |
| NPI Number | 1003097403 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003097403 | NPI | - | NPPES |
| 0248397 | Medicaid | OH | |
| DB1884 | Other | OH | MEDICARE RR UPIN |
| 080162406 | Other | OH | MEDICARE RAILROAD |
| DB1884 | Other | OH | MEDICARE RR UPIN# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35070285 (Ohio) | Primary |
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