| Advanced Medical Group | |
|
4441 Far Hills Ave Kettering OH 45429-2405 | |
| (937) 298-7351 | |
| (937) 298-9458 |
| Full Name | Advanced Medical Group |
|---|---|
| Speciality | Podiatrist |
| Location | 4441 Far Hills Ave, Kettering, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375583208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Group 1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 Ph: (937) 762-1306 | Advanced Medical Group 4441 Far Hills Ave Kettering OH 45429-2405 Ph: (937) 298-7351 |
| NPI Number | 1205146016 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 09/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205146016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 213E00000X | Podiatrist | () | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | () | Secondary |
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