Provider Demographics
NPI:1104065275
Name:DAYTON CARDIOLOGY AND VASC CONS INC
Entity type:Organization
Organization Name:DAYTON CARDIOLOGY AND VASC CONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHEDULING/CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-223-3053
Mailing Address - Street 1:1126 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2616
Mailing Address - Country:US
Mailing Address - Phone:937-223-3053
Mailing Address - Fax:937-853-0166
Practice Address - Street 1:301 W 1ST ST STE 100
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-3046
Practice Address - Country:US
Practice Address - Phone:937-223-3053
Practice Address - Fax:937-853-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty