DVA HEALTHCARE SOUTHWEST OHIO LLC

NPI # 

Practice Address:

1210 Hicks Blvd

Fairfield, OH, 45014-1921

Practice Phone:

513-939-1110

Practice Fax:

513-939-1202

License Number:

0491DC

License State:

OH

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X