| Complete Family Medicine, Inc. | |
|
7000 South Ave Suite 2 Boardman OH 44512-3644 | |
| (330) 729-9514 | |
| (330) 729-9591 |
| Full Name | Complete Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 7000 South Ave, Boardman, Ohio |
| Authorized Official Name and Position | Shannon M Barillare (PRESIDENT) |
| Authorized Official Contact | 3307299514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Family Medicine, Inc. 7000 South Ave Suite 2 Boardman OH 44512-3644 Ph: (330) 729-9514 | Complete Family Medicine, Inc. 7000 South Ave Suite 2 Boardman OH 44512-3644 Ph: (330) 729-9514 |
| NPI Number | 1760658058 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 06/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760658058 | NPI | - | NPPES |
| 2840840 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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