Independent Provider
INDEPENDENT PROVIDER official legal name INDEPENDENT PROVIDER is located at 5659 TROY VILLA BLVD, Dayton, Ohio. INDEPENDENT PROVIDER primary taxonomy is Preferred Provider Organization in the state of Ohio.
| Organization Legal Name | INDEPENDENT PROVIDER |
| NPI | 1699178723 |
| City | Dayton |
| State | Ohio |
| Address 1 | 5659 TROY VILLA BLVD |
| Postal Code | 45424 |
| Phone | 9794513843 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 305R00000X | Managed Care Organizations | Preferred Provider Organization |