Premier Integreated Medical Assoc Ltd

NPI 1073570370 - Family Medicine - 207Q00000X

NPI Details
NPI 1073570370
Enumeration Date 04/28/2006
Last Updated 01/04/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK A MARK
Position PRESIDENT
Phone (937) 435-9013
Fax (937) 435-1458
Practice Location
979 CONGRESS PARK DR
CENTERVILLE OH, 45459-4009, US
Phone (937) 435-9013
Fax (937) 435-1458
Business Location
4700 SMITH RD
SUITE A
CINCINNATI OH, 45212-2787, US
Phone (513) 619-6819
Fax (513) 645-2393
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Premier Integreated Medical Assoc Ltd NPI is 1073570370, taxonomy code is 207Q00000X Premier Integreated Medical Assoc Ltd physically located at 979 Congress Park Dr, Centerville OH, 45459-4009. NPI Number 1033115704 has the healthcare provider type.

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1073570370 NPI number is provided on an as is basis without warranty of any kind. 1073570370 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Integreated Medical Assoc Ltd are for informational purposes only.