Tiltonsville Clinic, Llc

NPI 1063412450 - Family Medicine - 207Q00000X

NPI Details
NPI 1063412450
Enumeration Date 07/28/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DOUGLAS SCOTT DOUGLAS
Position DIRECTOR OWNER
Phone (740) 859-2121
Fax (740) 859-2443
Practice Location
342 JEFFERSON ST
TILTONSVILLE OH, 43963-1058, US
Phone (740) 859-2121
Fax (740) 859-2443
Business Location
342 JEFFERSON ST
TILTONSVILLE OH, 43963-1058, US
Phone (740) 859-2121
Fax (740) 859-2443
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 34007831T
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According to our database, Tiltonsville Clinic, Llc NPI is 1063412450, taxonomy code is 207Q00000X and license number is 34007831T, license state is located at Ohio. Tiltonsville Clinic, Llc physically located at 342 Jefferson St, Tiltonsville OH, 43963-1058. NPI Number 1033115704 has the healthcare provider type.

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1063412450 NPI number is provided on an as is basis without warranty of any kind. 1063412450 is maintained by the National Plan & Provider Enumeration System. The contents of Tiltonsville Clinic, Llc are for informational purposes only.