| Primed Physicians | |
|
2322 Lakeview Dr Beavercreek OH 45431 | |
| (937) 426-0106 | |
| (937) 426-7153 |
| Full Name | Primed Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 2322 Lakeview Dr, Beavercreek, Ohio |
| Authorized Official Name and Position | Mark A Couch (PRESIDENT) |
| Authorized Official Contact | 9378983600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primed Physicians 25 Merchant St Ste 220 - Attn Credentialing Cincinnati OH 45246-3740 Ph: (513) 533-1199 | Primed Physicians 2322 Lakeview Dr Beavercreek OH 45431 Ph: (937) 426-0106 |
| NPI Number | 1245297753 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245297753 | NPI | - | NPPES |
| 3006535 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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