Provider Demographics
NPI:1477530509
Name:UNDERWOOD, ERIN D (DO)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:D
Last Name:UNDERWOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ONE WYOMING STREET
Mailing Address - Street 2:SUITE 3027A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45409-2643
Mailing Address - Country:US
Mailing Address - Phone:937-208-6173
Mailing Address - Fax:937-208-3843
Practice Address - Street 1:ONE WYOMING STREET
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409-2643
Practice Address - Country:US
Practice Address - Phone:937-208-6173
Practice Address - Fax:937-208-3843
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34008572207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology