Most Relevant Information
Provider Data
NPI Number: | 1003551920 |
Provider Name: | ANNEMARIE ROSE UNDERWOOD PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 4960 |
Most Important Dates
Enumeration Date: | 05/04/2022 |
Last Updated: | 06/21/2022 |
Provider Practice Location
3535 SOUTHERN BLVD
DAYTON
OH
454291221
Practice Location Phone/Fax
Phone: | 9373958166 |
Fax: |
Provider Mailing Location
3131 NEWMARK DR STE 220
MIAMISBURG
OH
453425400
Provider Mailing Phone/Fax
Phone: | 9374364658 |
Fax: |