INDEPENDENT PROVIDER is a preferred provider organization in Dayton, OH. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. INDEPENDENT PROVIDER NPI is 1699178723. The provider is registered as an organization entity type.
The provider's business location address is:
5659 TROY VILLA BLVD
DAYTON, OH
ZIP 45424-645
Phone: (979) 451-3843
The provider's authorized official is La'tasha Denise Lee .
The authorized official title is Independent Provider and has the following contact phone number (979) 451-3843.
The enumeration date for this NPI number is 10/3/2014 and was last updated on 10/3/2014.