| Name | PROVIDENCE MEDICAL GROUP, INC. |
|---|---|
| Street | 2912 SPRINGBORO W, SUITE 201 |
| City | DAYTON |
| Zip | OH 45439 |
| Status | Active |
| Effective date | 2016-03-14T00:00:00+01:00 |
| Company | BEAVERCREEK COMMONS FAMILY PRACTICE |
|---|---|
| Entity Number | 3878721 |
| Company | PROVIDENCE PROCTOLOGY |
|---|---|
| Entity Number | 3930738 |