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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

Quick Facts

NPI
1972533149
Entity Type
Organization
Medicare
Not confirmed
Specialties
15
Locations
1

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