PROVIDENCE MEDICAL GROUP INC

CENTERVILLE, OH
NPI1821373945
Doing Business AsPROVIDENCE SURGERY CENTER@ CORNERSTONE
Entity TypeOrganization
Authorized ContactSUSAN J BECKER
Chief Operations Officer
937-297-8999
Organization Subpart ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: OH  005030)
Enumeration Date2011-10-20
Last Update Date2011-10-20
Business Address
PROVIDENCE MEDICAL GROUP INC
7756 WASHINGTON VILLAGE DR SUITE 125
CENTERVILLE, OH 45459-3999
Phone number: 937-297-8999
Mailing Address
PROVIDENCE MEDICAL GROUP INC
2912 SPRINGBORO RD SUITE 201
MORAINE, OH 45439-1674
Phone number: 937-297-8999