Healthcare Provider Details

I. General information

NPI: 1548518301
Provider Name (Legal Business Name): PREMIER HEALTH SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2012
Last Update Date: 11/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2591 MIAMISBURG CENTERVILLE RD STE 301
DAYTON OH
45459-3711
US

IV. Provider business mailing address

2591 MIAMISBURG CENTERVILLE RD STE 301
DAYTON OH
45459-3711
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-5252
  • Fax: 937-439-9242
Mailing address:
  • Phone: 937-439-5252
  • Fax: 937-439-9242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER DANIS
Title or Position: CEO/PRESIDENT
Credential: MD
Phone: 937-499-8866