| All Ages Family Medicine, Inc. | |
|
241 Paddock Ct Delaware OH 43015-1317 | |
| (740) 362-8686 | |
| (740) 363-4662 |
| Full Name | All Ages Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 241 Paddock Ct, Delaware, Ohio |
| Authorized Official Name and Position | Mark A Hickman (PRESIDENT) |
| Authorized Official Contact | 7403628686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| All Ages Family Medicine, Inc. 241 Paddock Ct Delaware OH 43015-1317 Ph: (740) 362-8686 | All Ages Family Medicine, Inc. 241 Paddock Ct Delaware OH 43015-1317 Ph: (740) 362-8686 |
| NPI Number | 1902095490 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902095490 | NPI | - | NPPES |
| 2256866 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35076870H (Ohio) | Primary |
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