Occmed Source, Llc | |
174 Currie Hall Pkwy Suite D Kent OH 44240-4387 | |
(330) 548-0086 | |
(330) 548-0085 |
Full Name | Occmed Source, Llc |
---|---|
Speciality | Family Medicine |
Location | 174 Currie Hall Pkwy, Kent, Ohio |
Authorized Official Name and Position | Gregory A Moten (MEDICAL DIRECTOR) |
Authorized Official Contact | 3305480086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Occmed Source, Llc 174 Currie Hall Pkwy Suite D Kent OH 44240-4387 Ph: (330) 548-0086 | Occmed Source, Llc 174 Currie Hall Pkwy Suite D Kent OH 44240-4387 Ph: (330) 548-0086 |
NPI Number | 1003076431 |
---|---|
Provider Enumeration Date | 06/10/2008 |
Last Update Date | 06/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003076431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
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› Verified 8 days ago
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