PROVIDENCE MEDICAL GROUP, INC.

Diagnostic Radiology Physician

NPI: 1659726768Organization

Specialties, Licenses & Credentials

Diagnostic Radiology PhysicianPrimary

Radiology — Diagnostic Radiology

Code: 2085R0202X

Contact & Hours

Address: 2912 SPRINGBORO RD, SUITE 201
MORAINE, OH 45439
Phone: (937) 396-8137

Quick Facts

NPI: 1659726768
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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