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NPI Code Detail

MEDICARE: SPECIALTY MEDICINE CARE, LLC

MEDICARE: SPECIALTY MEDICINE CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician
2207RE0101XEndocrinology, Diabetes & Metabolism Physician

General Provider Information

NPI Number : 1043246630
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALTY MEDICINE CARE, LLC
Provider Business Mailing Address
First Line : 2633 COMMONS BLVD STE 120
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-3827
Country : US
Telephone Number : 937-429-0607
Fax Number : 937-702-9041
Provider Business Practice Location Address
First Line : 2633 COMMONS BLVD STE 120
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45431-3827
Country : US
Telephone Number : 937-429-0607
Fax Number : 937-702-9041
Authorized Official
Title or Position : PRESIDENT
Name : DR. TROY A TYNER
Credential : DO
Telephone Number : 937-429-0607
Provider Enumeration Date : 06/24/2006
Last Update Date : 10/27/2023

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Directions to “SPECIALTY MEDICINE CARE, LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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