ALLIANCE PHYSICIAN INC NPI 1710269113

NPI Information

  • NPI: 1710269113
  • Provider Name: ALLIANCE PHYSICIAN INC
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Doing Business As: WOMEN'S CANCER CENTER AT KETTERING
  • Address: 3737 SOUTHERN BLVD
    SUITE 3100
    KETTERING, OH
    ZIP 45429
  • Phone: (937) 395-8020

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NPI Details

ALLIANCE PHYSICIAN INC is a gynecologic oncology obstetrics gynecology in Kettering, OH. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. ALLIANCE PHYSICIAN INC NPI is 1710269113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Women's Cancer Center At Kettering.

The provider's business location address is:

3737 SOUTHERN BLVD
SUITE 3100
KETTERING, OH
ZIP 45429-286
Phone: (937) 395-8020
Fax: (937) 395-8054

The provider's authorized official is Daniel D Haibach .
The authorized official title is Director Business Development and has the following contact phone number (937) 558-3222.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/13/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19306898MEDICARE PINOHIO
22712872MEDICAIDOHIO

What is NPI?

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This page was last updated on: 11/21/2025

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