Wellformed AI

NPI 1679855985 · live from the CMS NPI Registry

Alliance Physician INC

Obstetrics & Gynecology, Gynecology in Centerville, OH. National Provider Identifier 1679855985, active.

NPI record

NPI1679855985 Type 2 · organization
StatusActive
Primary specialtyObstetrics & Gynecology, Gynecology 207VG0400X
Practice location7756 Washington Village Dr, Suite 135, Centerville, OH 45459
Practice phone937-436-9825
Mailing address2110 Leiter Rd, Miamisburg, OH 45342
EnumeratedSeptember 13, 2011
Last updatedSeptember 13, 2011
Authorized officialDaniel Haibach, Director Business Development
Other namesPelvic Control Center

Taxonomies and licenses

TaxonomyCodeLicense
Urology208800000X—
Obstetrics & Gynecology, Gynecology primary207VG0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.