Healthcare Provider Details

I. General information

NPI: 1679506356
Provider Name (Legal Business Name): ALISON A CLAREY DO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2717 MIAMISBURG CENTERVILLE RD SUITE 215
CENTERVILLE OH
45459
US

IV. Provider business mailing address

PO BOX 635913
CINCINNATI OH
45263-5913
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-4145
  • Fax: 937-439-4371
Mailing address:
  • Phone: 937-439-4145
  • Fax: 937-439-4371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALISON A CLAREY
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 937-439-4145