| Ancillary Services Of Middletown | |
|
105 Mcknight Dr Middletown OH 45044-4838 | |
| (800) 742-2368 | |
| (937) 291-2962 |
| Full Name | Ancillary Services Of Middletown |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Mcknight Dr, Middletown, Ohio |
| Authorized Official Name and Position | Grace Brown (PRACTICE MANAGER) |
| Authorized Official Contact | 9372917850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancillary Services Of Middletown Po Box 632412 Cincinnati OH 45263-2412 Ph: (800) 742-2368 | Ancillary Services Of Middletown 105 Mcknight Dr Middletown OH 45044-4838 Ph: (800) 742-2368 |
| NPI Number | 1790755841 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790755841 | NPI | - | NPPES |
| 0521126 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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