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PROVIDENCE MEDICAL GROUP
Family Medicine Physician
NPI: 1972533149Organization
Specialties, Licenses & Credentials
Registered Dietitian
Dietitian, Registered
Code: 133V00000X
Diabetes Educator Registered Nurse
Registered Nurse — Diabetes Educator
Code: 163WD0400X
Obstetrics & Gynecology Physician
Obstetrics & Gynecology
Code: 207V00000X
Pediatrics Physician
Pediatrics
Code: 208000000X
Surgery Physician
Surgery
Code: 208600000X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Urology — Urogynecology and Reconstructive Pelvic Surgery
Code: 2088F0040X
Colon & Rectal Surgery Physician
Colon & Rectal Surgery
Code: 208C00000X
General Practice Physician
General Practice
Code: 208D00000X
Clinical Medical Laboratory
Clinical Medical Laboratory
Code: 291U00000X
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
1313008(OH)
Acute Care Nurse Practitioner
Nurse Practitioner — Acute Care
Code: 363LA2100X
Adult Health Nurse Practitioner
Nurse Practitioner — Adult Health
Code: 363LA2200X
Pediatric Nurse Practitioner
Nurse Practitioner — Pediatrics
Code: 363LP0200X
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
Contact & Hours
- Address
- 2912 SPRINGBORO RD W, SUITE 201
DAYTON, OH 45439 - Phone
- (937) 297-8999
Quick Facts
- NPI
- 1972533149
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 15
- Locations
- 1
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