Premier Integrated Medical Assoc Ltd

NPI 1023075330 - Pediatrics - 2080A0000X

NPI Details
NPI 1023075330
Enumeration Date 04/28/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK A MARK
Position CREDENTIALING COORDINATOR
Phone (937) 320-3848
Fax (937) 320-3848
Practice Location
2322 LAKEVIEW DR
BEAVERCREEK OH, 45431, US
Phone (937) 320-3848
Fax (937) 320-3848
Business Location
4700 SMITH RD
SUITE A
CINCINNATI OH, 45212-2787, US
Phone (513) 619-6885
Fax (513) 533-6001
Toxanomy
Taxonomy Code 2080A0000X
License State
License Number
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According to our database, Premier Integrated Medical Assoc Ltd NPI is 1023075330, taxonomy code is 2080A0000X Premier Integrated Medical Assoc Ltd physically located at 2322 Lakeview Dr, Beavercreek OH, 45431. NPI Number 1033115704 has the healthcare provider type.

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1023075330 NPI number is provided on an as is basis without warranty of any kind. 1023075330 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Integrated Medical Assoc Ltd are for informational purposes only.