Active NPI 1467524686 Individual Practitioner Male Practitioner

Dr. Frank V Troha , MD

Surgery - Plastic and Reconstructive Surgery • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Frank Troha, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Dayton, OH. Practice services are available at 1520 S MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1520 S Main St
Suite 200

Dayton, OH 454092698

Telephone 9372285115

Fax 9372284591

Associated Practice Facility / Clinic

🏢 Associated Eye Physicians And Surgeons, Inc Facility NPI 1164432431

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Dayton, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Dayton, OH (73 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	329	248	$95.15	$52.89
11102 Tangential biopsy of single skin lesion	246	205	$174.09	$86.22
17003 Destruction of precancer skin growth, 2-14 growths	221	64	$10.80	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	199	163	$155.75	$85.69
17000 Destruction of skin growth	159	129	$111.39	$45.66
11103 Biopsy of related skin growth, each additional growth	144	82	$88.88	$45.29
17110 Destruction of up to 14 skin growths	72	68	$190.03	$102.47
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	53	44	$1063.37	$509.44
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	37	29	$338.78	$92.20
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	28	24	$960.59	$456.73
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	25	22	$1130.94	$575.83
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	21	$688.57	$350.40
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	16	$330.17	$90.81
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$124.13	$67.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$191.91	$105.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	16	$737.94	$381.16
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$444.69	$137.41
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$428.21	$126.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	279	228	$95.04	$53.37
11102 Tangential biopsy of single skin lesion	243	202	$174.09	$89.89
17003 Destruction of precancer skin growth, 2-14 growths	234	73	$11.77	$6.20
17000 Destruction of skin growth	170	137	$110.65	$47.30
99213 Established patient office or other outpatient visit, typically 15 minutes	164	141	$155.75	$85.45
11103 Biopsy of related skin growth, each additional growth	126	65	$88.88	$46.96
17110 Destruction of up to 14 skin growths	46	43	$187.86	$105.84
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	45	37	$338.78	$97.87
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	44	38	$1063.37	$540.54
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	43	33	$950.80	$469.92
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	38	31	$1104.26	$600.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	35	33	$688.57	$359.73
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	27	14	$252.93	$71.04
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	23	$426.12	$148.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	15	$324.96	$92.30
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	24	$737.94	$394.21
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$124.13	$68.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	22	20	$444.93	$167.68
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	14	12	$845.75	$412.54
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	12	12	$590.80	$309.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$191.91	$107.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	956	348	$55.15	$31.32
17003 Destruction of precancer skin growth, 2-14 growths	384	107	$25.00	$6.38
11102 Tangential biopsy of single skin lesion	278	234	$245.00	$95.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	259	214	$82.22	$54.40
11103 Biopsy of related skin growth, each additional growth	214	116	$65.40	$48.92
17000 Destruction of skin growth	213	173	$80.02	$47.09
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	60	52	$780.42	$520.94
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$92.92	$70.31
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	40	34	$750.00	$442.16
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	27	$400.00	$371.75
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	23	$185.00	$95.47
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	25	$793.00	$603.62
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	25	$451.40	$395.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	22	20	$286.82	$134.78
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	20	19	$403.75	$116.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	11	$175.00	$82.83
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	14	$450.00	$149.24
17110 Destruction of up to 14 skin growths	12	11	$95.83	$89.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,093	352	$55.04	$30.96
17003 Destruction of precancer skin growth, 2-14 growths	538	136	$25.01	$6.17
11103 Biopsy of related skin growth, each additional growth	298	125	$65.00	$50.79
11102 Tangential biopsy of single skin lesion	294	229	$245.00	$96.94
17000 Destruction of skin growth	248	202	$80.02	$45.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	206	180	$75.00	$54.37
99213 Established patient office or other outpatient visit, typically 15 minutes	76	71	$95.00	$87.05
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	49	41	$775.00	$551.84
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	45	42	$400.00	$358.50
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	41	37	$750.00	$475.28
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	40	33	$185.00	$96.80
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	26	$175.00	$83.88
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$85.00	$70.93
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	25	$450.00	$404.81
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	21	$400.00	$133.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	18	$450.00	$162.35
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	15	$285.00	$136.86
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	18	18	$793.00	$628.30
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	11	$285.00	$94.33
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	11	$185.00	$72.27
11104 Punch biopsy, first skin growth	13	13	$140.00	$115.18
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	11	11	$360.00	$337.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,098	365	$55.56	$29.31
17003 Destruction of precancer skin growth, 2-14 growths	601	142	$25.00	$5.72
11102 Tangential biopsy of single skin lesion	311	260	$219.20	$94.56
11103 Biopsy of related skin growth, each additional growth	278	131	$65.00	$51.20
17000 Destruction of skin growth	265	218	$80.02	$44.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	218	189	$65.00	$43.51
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	71	55	$186.13	$94.03
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	59	56	$401.27	$351.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	51	$50.00	$22.03
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	46	42	$775.00	$591.76
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	45	43	$450.78	$399.68
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	25	$175.00	$82.20
99201 New patient office or other outpatient visit, typically 10 minutes	36	36	$70.00	$43.42
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	36	29	$734.72	$455.26
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	20	$285.00	$96.43
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	24	$286.54	$131.52
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	22	$400.00	$150.89
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	20	18	$793.00	$625.28
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	17	15	$450.00	$161.87
11104 Punch biopsy, first skin growth	15	15	$141.33	$94.02
13120 Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm	14	14	$320.00	$298.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,259	430	$55.75	$27.45
17003 Destruction of precancer skin growth, 2-14 growths	950	202	$25.05	$5.34
11102 Tangential biopsy of single skin lesion	409	333	$115.17	$91.85
11103 Biopsy of related skin growth, each additional growth	383	165	$65.16	$49.81
17000 Destruction of skin growth	352	272	$80.01	$44.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	305	269	$65.00	$43.00
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	78	63	$779.17	$538.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	74	46	$285.00	$94.19
99201 New patient office or other outpatient visit, typically 10 minutes	65	65	$70.00	$43.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	59	50	$793.00	$614.53
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	52	$50.00	$21.47
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	53	45	$703.30	$467.97
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	45	44	$450.00	$158.62
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	45	43	$402.37	$356.96
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	39	34	$286.03	$136.07
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	39	37	$400.00	$153.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	25	$176.39	$76.02
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	31	30	$450.86	$412.49
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	22	$186.33	$93.15
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	25	11	$115.00	$71.52
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	14	$185.00	$72.33
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	15	15	$361.00	$293.40
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$1050.00	$841.36
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	12	12	$1100.00	$865.10
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$231.82	$145.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,397	455	$55.30	$27.13
17003 Destruction of precancer skin growth, 2-14 growths	848	215	$25.34	$5.02
17000 Destruction of skin growth	388	300	$80.08	$41.95
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	360	195	$92.00	$59.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	316	271	$65.00	$41.87
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	243	155	$125.19	$94.81
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	205	140	$120.44	$85.69
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	98	81	$110.15	$65.39
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	95	67	$778.42	$522.63
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	70	58	$135.00	$73.60
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	63	52	$125.00	$104.35
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	58	48	$285.00	$136.55
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	52	48	$402.05	$347.98
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	50	38	$700.00	$454.82
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	40	40	$450.00	$393.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	38	27	$285.00	$96.60
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	36	30	$185.00	$92.52
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	35	32	$793.00	$622.57
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	28	$427.59	$146.00
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$70.00	$42.61
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	22	$450.00	$159.53
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	15	$185.00	$72.06
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$85.00	$72.02
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	13	$175.00	$79.80
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	16	16	$795.31	$734.38
17004 Destruction of precancer skin growth, 15 or more growths	12	12	$235.42	$138.17
13100 Complicated repair of wound of trunk, 1.1-2.5 cm	11	11	$360.00	$291.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity	1,189	456	$55.75	$25.90
17003 Destruction of precancer skin growth, 2-14 growths	880	202	$25.12	$5.15
17000 Destruction of skin growth	340	263	$80.03	$43.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	335	271	$65.00	$40.08
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	250	153	$89.98	$59.17
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	212	144	$126.27	$88.19
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	147	112	$120.00	$85.46
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	92	69	$110.33	$62.73
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	88	70	$125.28	$106.06
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	81	68	$783.02	$505.50
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	64	49	$135.00	$78.01
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	64	36	$285.00	$93.41
99201 New patient office or other outpatient visit, typically 10 minutes	55	55	$70.00	$40.27
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	51	46	$710.29	$448.36
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	44	36	$793.00	$596.23
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	43	41	$400.00	$339.58
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	31	$450.00	$376.12
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	32	29	$450.00	$160.06
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	24	$185.00	$88.72
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	29	24	$285.00	$131.30
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	26	$400.00	$147.69
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	22	20	$775.00	$694.04
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	12	$175.00	$76.42
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	11	$1050.00	$816.64
88304 Pathology examination of tissue using a microscope, moderately low complexity	12	11	$45.00	$25.81

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License OH 35051043T

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0786074 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Nichole Gill , PA

Physician Assistant - Medical

NPI 1598958035

Physician Assistant

Dr. Kenneth Welty Jr , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1679645881

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1520 S MAIN ST, SUITE 200, DAYTON, OH 454092698 (Tel: 9372285115)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1520 S MAIN ST, SUITE 200, DAYTON, OH 454092698 (Tel: 9372285115)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as FRANK TROHA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #35051043T in OH)

🟢

Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467524686

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 14, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1520 S Main St, Suite 200

Dayton, OH 454092698

Phone: 9372285115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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