Healthcare Provider Details

I. General information

NPI: 1669697249
Provider Name (Legal Business Name): PERINATAL PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7707 PARAGON RD STE 103
DAYTON OH
45459-4041
US

IV. Provider business mailing address

1 WYOMING ST BERRY BLDG GROUND
DAYTON OH
45409-2722
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-6970
  • Fax: 937-208-6974
Mailing address:
  • Phone: 937-208-6088
  • Fax: 937-208-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. TERRY L STUERMAN
Title or Position: VP, SECRETARY,TREASURER
Credential:
Phone: 937-208-6088