Alliance Obstetrics Inc

Organization Active NPI Obstetrics & Gynecology Physician · Alliance, OH

NPI 1104882307 · NPPES record last updated Jan 20, 2009

Key facts

NPI
1104882307
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
ALLIANCE OBSTETRICS INC
Practice address
270 E State St
Suite G100
Alliance, OH 44601-4300
Phone
(330) 821-4869
Fax
(330) 821-6358
NPI assigned
Apr 25, 2006
Organization subpart
No

Authorized official

Name
Craig S O'Dear
Title
MD
Phone
(330) 821-4869

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

240 E State St
Alliance, OH 44601
Phone (330) 821-4869

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

270 E State St
Suite G100
Alliance, OH 44601-4300

Mailing address

270 E State St
Suite G100
Alliance, OH 44601-4300
Phone (330) 821-4869

Other identifiers

IdentifierTypeStateIssuer
0518005MedicaidOH

Other providers in Alliance, OH

All providers in Alliance, OH · Obstetrics & Gynecology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.