Woodcroft Family Practice | |
4235 Indian Ripple Rd Suite 210 Dayton OH 45440-3284 | |
(937) 427-9202 | |
(937) 427-9671 |
Full Name | Woodcroft Family Practice |
---|---|
Speciality | Family Medicine |
Location | 4235 Indian Ripple Rd, Dayton, Ohio |
Authorized Official Name and Position | Joseph Scott Leithold (PRESIDENT) |
Authorized Official Contact | 9374279202 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Woodcroft Family Practice 4235 Indian Ripple Rd Suite 210 Dayton OH 45440-3284 Ph: (937) 427-9202 | Woodcroft Family Practice 4235 Indian Ripple Rd Suite 210 Dayton OH 45440-3284 Ph: (937) 427-9202 |
NPI Number | 1003097403 |
---|---|
Provider Enumeration Date | 11/14/2007 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003097403 | NPI | - | NPPES |
0248397 | Medicaid | OH | |
DB1884 | Other | OH | MEDICARE RR UPIN |
080162406 | Other | OH | MEDICARE RAILROAD |
DB1884 | Other | OH | MEDICARE RR UPIN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35070285 (Ohio) | Primary |
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