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NPI Code Detail

MEDICARE: RORY CALHOUN PRS-S

MEDICARE: RORY CALHOUN PRS-S
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
1175T00000XPeer Specialist1976OH

General Provider Information

NPI Number : 1528714409
Entity Type Code : Individual
Provider Name (Legal Business Name) : RORY CALHOUN PRS-S
Provider Business Mailing Address
First Line : 2400 W STROOP RD
Second Line :
City : DAYTON
State : OH
Zip : 45439-2041
Country : US
Telephone Number : 614-634-0195
Fax Number :
Provider Business Practice Location Address
First Line : 2400 W STROOP RD
Second Line :
City : DAYTON
State : OH
Zip : 45439-2041
Country : US
Telephone Number : 614-634-0195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2022
Last Update Date : 03/01/2022

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Directions to “ RORY CALHOUN PRS-S” Practice Location

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