(800) 868-1923

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: