HEALTHSTAT ONSITE CLINIC CITY OF DAYTON NPI 1396296612

NPI Information

HEALTHSTAT ONSITE CLINIC CITY OF DAYTON is a preventive medicine/occupational environmental medicine preventive medicine in Dayton, OH. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ONSITE CLINIC CITY OF DAYTON NPI is 1396296612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1222 S PATTERSON BLVD
SUITE 120
DAYTON, OH
ZIP 45402-684
Phone: (704) 529-6161

The provider's authorized official is Jill Johnson Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 936-5546.

The CLIA number assigned to this NPI record is 36D2121352 - other - chronic mgt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 11/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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