PROVIDENCE MEDICAL GROUP
Organization (NPI-2)
Active
Family Medicine
Provider Information
- NPI Number
1972533149- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2912 SPRINGBORO RD W SUITE 201, DAYTON, OH, 454391674
- Phone
- (937) 297-8999
- Fax
- (937) 297-4852
Specialties & Taxonomies
Dietitian, Registered
License: OH
Registered Nurse, Diabetes Educator
License: OH
Obstetrics & Gynecology
Pediatrics
Surgery
Urology, Urogynecology and Reconstructive Pelvic Surgery
Colon & Rectal Surgery
General Practice
Clinical Medical Laboratory
Physician Assistant, Medical
Nurse Practitioner
License: OH #1313008
Nurse Practitioner, Acute Care
Nurse Practitioner, Adult Health
Nurse Practitioner, Pediatrics
Family Medicine
Primary