Fredericktown Family Practice

NPI 1114060472 - Family Medicine - 207Q00000X

NPI Details
NPI 1114060472
Enumeration Date 02/15/2007
Last Updated 07/20/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AMANDA AMANDA
Position OFFICE MANAGER
Phone (740) 694-2110
Fax (740) 694-2127
Practice Location
16361 VILLAGE PKWY
FREDERICKTOWN OH, 43019-9585, US
Phone (740) 694-2110
Fax (740) 694-2127
Business Location
16361 VILLAGE PKWY
FREDERICKTOWN OH, 43019-9585, US
Phone (740) 694-2110
Fax (740) 694-2127
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1114060472 NPI Number
 

According to our database, Fredericktown Family Practice NPI is 1114060472, taxonomy code is 207Q00000X Fredericktown Family Practice physically located at 16361 Village Pkwy, Fredericktown OH, 43019-9585. NPI Number 1033115704 has the healthcare provider type.

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1114060472 NPI number is provided on an as is basis without warranty of any kind. 1114060472 is maintained by the National Plan & Provider Enumeration System. The contents of Fredericktown Family Practice are for informational purposes only.