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Oxyclean Ambulatory Opiate Detox Centers Llc
Addiction Medicine (Family Medicine) Physician in Waynesville, Ohio
NPI 1033624812

Oxyclean Ambulatory Opiate Detox Centers Llc is an Addiction Medicine (Family Medicine) Physician based in Beavercreek, OH and is specialized in Addiction Medicine. Oxyclean Ambulatory Opiate Detox Centers Llc practices in Waynesville, OH. The NPI Number for Oxyclean Ambulatory Opiate Detox Centers Llc is 1033624812 and holds a License No. 35050063 (Ohio).

The current practice location address for Oxyclean Ambulatory Opiate Detox Centers Llc is 415 S Main St, Waynesville, OH and can be reached out via phone at 513-897-7162.

Location: 415 S Main St, Waynesville, OH, 45434-6390
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033624812
Provider Name
Oxyclean Ambulatory Opiate Detox Centers Llc
Credential
Provider Entity Type
Organization
Address
415 S Main St, Waynesville, OH, 45434-6390
Phone Number
513-897-7162
Fax Number
Provider Enumeration Date
12/03/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
35-0-50063 01 OH STATE MEDICAL BOARD
1245220912 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
415 S Main St
City
Waynesville
State
Ohio
Zip
45068-9553
Phone Number
513-897-7162
Fax Number
person
Provider Business Mailing Address Details
Address
415 S Main St
City
Waynesville
State
Ohio
Zip
45068-9553
Phone Number
513-897-7162
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
35050063 (Ohio)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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