Ontario Family Medicine

NPI 1205279379 - Clinic/Center - 261QR1300X

NPI Details
NPI 1205279379
Enumeration Date 04/09/2013
Last Updated 04/09/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JEROME JEROME
Position CEO
Phone (419) 529-6195
Fax
Practice Location
2007 W 4TH ST
ONTARIO OH, 44906-1787, US
Phone (419) 529-6195
Fax
Business Location
269 PORTLAND WAY S
GALION OH, 44833-2312, US
Phone (419) 468-4841
Fax
Toxanomy
Taxonomy Code 261QR1300X
License State
License Number
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According to our database, Ontario Family Medicine NPI is 1205279379, taxonomy code is 261QR1300X Ontario Family Medicine physically located at 2007 W 4th St, Ontario OH, 44906-1787. NPI Number 1033115704 has the healthcare provider type.

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1205279379 NPI number is provided on an as is basis without warranty of any kind. 1205279379 is maintained by the National Plan & Provider Enumeration System. The contents of Ontario Family Medicine are for informational purposes only.