| |
2350 Miami Valley Dr Suite 530 Centerville OH 45459-4778 | |
(937) 435-3546 | |
(937) 435-3568 |
Full Name | |
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Speciality | Family Medicine |
Location | 2350 Miami Valley Dr, Centerville, Ohio |
Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
Authorized Official Contact | 9372088213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2350 Miami Valley Dr Suite 530 Centerville OH 45459-4778 Ph: (937) 435-3546 | 2350 Miami Valley Dr Suite 530 Centerville OH 45459-4778 Ph: (937) 435-3546 |
NPI Number | 1659323467 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 11/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659323467 | NPI | - | NPPES |
0775308 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pioneer Health Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9223 Great Lakes Cir, Centerville, OH 45458 Phone: 937-912-9428 | |
Edgar Santillan Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Miami Valley Dr, Centerville, OH 45459 Phone: 937-556-4324 Fax: 937-439-3786 | |
Sesslar Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6627 Centerville Business Pkwy, Centerville, OH 45459 Phone: 937-312-9212 Fax: 937-312-0742 |