Martin Surgical Associates Llc

NPI 1104897008 - Surgery - 208600000X

NPI Details
NPI 1104897008
Enumeration Date 01/30/2006
Last Updated 11/27/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERRICK J DERRICK
Position PRESIDENT
Phone (937) 439-4178
Fax (937) 439-4740
Practice Location
8940 KINGSRIDGE DRIVE
SUITE 105
DAYTON OH, 45458, US
Phone (937) 439-4178
Fax (937) 439-4740
Business Location
8940 KINGSRIDGE DRIVE
SUITE 105
DAYTON OH, 45458, US
Phone (937) 439-4178
Fax (937) 439-4740
Toxanomy
Taxonomy Code 208600000X
License State
License Number
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According to our database, Martin Surgical Associates Llc NPI is 1104897008, taxonomy code is 208600000X Martin Surgical Associates Llc physically located at 8940 Kingsridge Drive, Dayton OH, 45458. NPI Number 1033115704 has the healthcare provider type.

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1104897008 NPI number is provided on an as is basis without warranty of any kind. 1104897008 is maintained by the National Plan & Provider Enumeration System. The contents of Martin Surgical Associates Llc are for informational purposes only.