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: |