Primed Physicians | |
1900 Composite Dr Kettering OH 45420-1475 | |
(937) 293-8419 | |
(937) 293-1545 |
Full Name | Primed Physicians |
---|---|
Speciality | Family Medicine |
Location | 1900 Composite Dr, Kettering, 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 1900 Composite Dr Kettering OH 45420-1475 Ph: (937) 293-8419 | Primed Physicians 1900 Composite Dr Kettering OH 45420-1475 Ph: (937) 293-8419 |
NPI Number | 1285690339 |
---|---|
Provider Enumeration Date | 04/25/2006 |
Last Update Date | 12/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285690339 | NPI | - | NPPES |
========= | Other | TRICARE GROUP NUMBER | |
2112958 | Medicaid | OH | |
CA2478 | Other | OH | MEDICARE RR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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› Verified 9 days ago
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