Unknown Individual – Urology Physician, NPI 1710984570
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2145, North Fairfield Road, Beavercreek, Greene County, Ohio, 45431, United States
STE B
BEAVERCREEK, OH 454312580
Phone: (937) 429-7352
Fax: (937) 429-3772
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45431)
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