| Beavercreek Family Physicians | |
|
1244 Meadow Bridge Dr Suite 100 Beavercreek OH 45434-6388 | |
| (937) 208-7600 | |
| (937) 208-7620 |
| Full Name | Beavercreek Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1244 Meadow Bridge Dr, Beavercreek, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9372088213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beavercreek Family Physicians 1244 Meadow Bridge Dr Suite 100 Beavercreek OH 45434-6388 Ph: (937) 208-7600 | Beavercreek Family Physicians 1244 Meadow Bridge Dr Suite 100 Beavercreek OH 45434-6388 Ph: (937) 208-7600 |
| NPI Number | 1205888963 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205888963 | NPI | - | NPPES |
| 0109377 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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