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Alliance Physician Inc

Organization Active NPI Surgery Physician · Dayton, OH

NPI 1669753281 · NPPES record last updated Sep 9, 2011

Key facts

NPI
1669753281
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
ALLIANCE PHYSICIAN INC
Practice address
7740 Washington Village Dr
Suite 110a
Dayton, OH 45459-4056
Phone
(937) 439-4145
Fax
(937) 439-4371
NPI assigned
Sep 9, 2011
Organization subpart
Yes
Parent organization (as reported)
ALLIANCE PHYSICIAN INC

Authorized official

Name
Daniel D Haibach
Title
Director Business Development
Phone
(937) 558-3222

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Centerville Family Prac (77 organizations share this tax ID)
Part of
Centerville Family Prac

Locations

7740 Washington Village Dr
Ste 110A
Dayton, OH 45459

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

7740 Washington Village Dr
Suite 110a
Dayton, OH 45459-4056

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660
Phone (937) 384-4838

Other identifiers

IdentifierTypeStateIssuer
2712872MedicaidOH

Other names

  • Dayton Bariatrics Doing business as

Other providers in Dayton, OH

All providers in Dayton, OH · Surgery Physician in Ohio

Sources for this page

Verify at the official NPI Registry.