Conitaca Medical Associates,llc | |
17674 Mahoning Ave Lake Milton OH 44429-9582 | |
(330) 654-3600 | |
(330) 654-3811 |
Full Name | Conitaca Medical Associates,llc |
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Speciality | Internal Medicine |
Location | 17674 Mahoning Ave, Lake Milton, Ohio |
Authorized Official Name and Position | Martin Escobar (OWNER) |
Authorized Official Contact | 3306543600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Conitaca Medical Associates,llc 17674 Mahoning Ave Lake Milton OH 44429-9582 Ph: (330) 654-3600 | Conitaca Medical Associates,llc 17674 Mahoning Ave Lake Milton OH 44429-9582 Ph: (330) 654-3600 |
NPI Number | 1477742716 |
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Provider Enumeration Date | 10/23/2007 |
Last Update Date | 10/23/2007 |
Identifier | Type | State | Issuer |
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1477742716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |