Organization · Type 2 NPI

Alliance Physician Inc

Vascular Surgery Physician · Dayton, OH

NPI number 1104108406 Active

Practice location

1 Elizabeth Pl, Suite 10A-1
Dayton, OH 45417-3445

Call (937) 228-4126 Map

Fax (937) 228-0247

Mailing address

2110 Leiter Rd
Miamisburg, OH 45342-3660

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

428 other providers at this address

Other vascular surgery physician providers in Dayton

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NPI record

NPI: 1104108406
Entity type: Organization (Type 2)
Issued: Sep 13, 2011
Last updated: Sep 13, 2011
Status: Active
Subpart: Yes of Alliance Physician Inc

Other names

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Dayton Surgeons · doing business as

Authorized official

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

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104108406

Alliance Physician Inc's National Provider Identifier is 1104108406, issued on Sep 13, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Dayton, OH. The record was last updated on Sep 13, 2011.