Healthcare Provider Details

I. General information

NPI: 1245596634
Provider Name (Legal Business Name): ALLIANCE PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1989 MIAMISBURG CENTERVILLE RD STE. 201
DAYTON OH
45459-3859
US

IV. Provider business mailing address

2110 LEITER RD
MIAMISBURG OH
45342-3660
US

V. Phone/Fax

Practice location:
  • Phone: 937-223-6837
  • Fax: 937-223-3024
Mailing address:
  • Phone: 937-914-7044
  • Fax: 937-522-7595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DUANE SHELDON
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 937-384-3835