Healthcare Provider Details
I. General information
NPI: 1689684318
Provider Name (Legal Business Name): OXFORD OBSTETRICS AND GYNECOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/08/2006
Last Update Date: 03/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5225 MORNING SUN RD SUITE A
OXFORD OH
45056-8929
US
IV. Provider business mailing address
5225 MORNING SUN RD SUITE A
OXFORD OH
45056-8929
US
V. Phone/Fax
- Phone: 513-523-2158
- Fax: 513-523-0019
- Phone: 513-523-2158
- Fax: 513-523-0019
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOHN
T
HARLAN
Title or Position: OWNER
Credential: M.D.
Phone: 513-523-2158