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NPI Code Detail

MEDICARE: MS. SARA CURTIS PA-C, MD

MEDICARE: MS. SARA CURTIS PA-C, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant50.003153OH
2390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1366743791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA CURTIS PA-C, MD
Provider Business Mailing Address
First Line : 2261 PHILADELPHIA DR STE 300
Second Line :
City : DAYTON
State : OH
Zip : 45406-1814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2261 PHILADELPHIA DR STE 300
Second Line :
City : DAYTON
State : OH
Zip : 45406-1814
Country : US
Telephone Number : 937-257-2778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2010
Last Update Date : 04/21/2025

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