Promedica East Physicians, Llc

NPI 1013043082 - Internal Medicine - 207R00000X

NPI Details
NPI 1013043082
Enumeration Date 02/26/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIMBERLY A KIMBERLY
Position CREDENTIALING SUPERVISOR
Phone (419) 690-8788
Fax (419) 697-7705
Practice Location
2751 BAY PARK DR
SUITE 305
OREGON OH, 43616-4921, US
Phone (419) 690-8788
Fax (419) 697-7705
Business Location
2751 BAY PARK DR
SUITE 305
OREGON OH, 43616-4921, US
Phone (419) 690-8788
Fax (419) 697-7705
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number =========
Remove 1013043082 NPI Number
 

According to our database, Promedica East Physicians, Llc NPI is 1013043082, taxonomy code is 207R00000X and license number is =========, license state is located at Ohio. Promedica East Physicians, Llc physically located at 2751 Bay Park Dr, Oregon OH, 43616-4921. NPI Number 1033115704 has the healthcare provider type.

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1013043082 NPI number is provided on an as is basis without warranty of any kind. 1013043082 is maintained by the National Plan & Provider Enumeration System. The contents of Promedica East Physicians, Llc are for informational purposes only.