1699178723 INDEPENDENT PROVIDER

Preferred Provider Organization

Active

Basic Information

Organization Name
INDEPENDENT PROVIDER
Enumeration Date
October 3, 2014
Last Update
October 3, 2014
Authorized Official
LA'TASHA DENISE LEE
INDEPENDENT PROVIDER
Phone: (979) 451-3843

Practice Location

Address
5659 TROY VILLA BLVD
DAYTON, OH 454242645
Phone
(979) 451-3843

Mailing Address

Address
5659 TROY VILLA BLVD
DAYTON, OH 454242645
Phone
(979) 451-3843

Specialties & Taxonomies

Specialty Code Classification License State Primary
Preferred Provider Organization
305R00000X Preferred Provider Organization N/A N/A Primary

Frequently Asked Questions

What is INDEPENDENT PROVIDER's NPI number?
INDEPENDENT PROVIDER's NPI number is 1699178723.
Which doctor has NPI number 1699178723?
The doctor with NPI number 1699178723 is INDEPENDENT PROVIDER.
What is INDEPENDENT PROVIDER's practice address?
INDEPENDENT PROVIDER's practice address is 5659 TROY VILLA BLVD, DAYTON, OH, 454242645.
Which doctor practices at 5659 TROY VILLA BLVD, DAYTON, OH, 454242645?
INDEPENDENT PROVIDER practices at 5659 TROY VILLA BLVD, DAYTON, OH, 454242645.
What is INDEPENDENT PROVIDER's phone number?
INDEPENDENT PROVIDER's phone number is (979) 451-3843.
Who is (979) 451-3843?
(979) 451-3843 is the phone number for INDEPENDENT PROVIDER.
What is INDEPENDENT PROVIDER's specialty?
INDEPENDENT PROVIDER's specialty is Preferred Provider Organization.
What type of doctor is INDEPENDENT PROVIDER?
INDEPENDENT PROVIDER is a Preferred Provider Organization.
Is INDEPENDENT PROVIDER a Preferred Provider Organization?
Yes, INDEPENDENT PROVIDER is a Preferred Provider Organization.
Is INDEPENDENT PROVIDER still practicing?
Yes, INDEPENDENT PROVIDER is currently practicing.
Is INDEPENDENT PROVIDER accepting new patients?
INDEPENDENT PROVIDER may be accepting new patients. Please call their office at (979) 451-3843 to inquire about availability.
Is NPI 1699178723 still active?
Yes, NPI 1699178723 is currently active.
Where does INDEPENDENT PROVIDER practice?
INDEPENDENT PROVIDER practices in DAYTON, OH.