HOLY FAMILY PEDIATRICS NPI 1871716258

NPI Information

HOLY FAMILY PEDIATRICS is a specialist in Dayton, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HOLY FAMILY PEDIATRICS NPI is 1871716258. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

359 FOREST AVE
SUITE 106
DAYTON, OH
ZIP 45405-563
Phone: (937) 586-9665

The provider's authorized official is Michael Anthony Moell .
The authorized official title is Owner and has the following contact phone number (937) 586-9665.

The CLIA number assigned to this NPI record is 36D1056802 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/11/2007 and was last updated on 3/27/2008.

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:

Other Identifiers

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