| David Rich M D Inc | |
|
2959 Canfield Rd Suites 8 & 9 Youngstown OH 44511-2800 | |
| (330) 797-0222 | |
| (330) 797-0058 |
| Full Name | David Rich M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2959 Canfield Rd, Youngstown, Ohio |
| Authorized Official Name and Position | David Rich (PRESIDENT) |
| Authorized Official Contact | 3307970222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Rich M D Inc 2959 Canfield Rd Suites 8 & 9 Youngstown OH 44511-2800 Ph: (330) 797-0222 | David Rich M D Inc 2959 Canfield Rd Suites 8 & 9 Youngstown OH 44511-2800 Ph: (330) 797-0222 |
| NPI Number | 1144340076 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/30/2017 |
| Medicare PECOS PAC ID | 6608959002 |
|---|---|
| Medicare Enrollment ID | O20080208000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144340076 | NPI | - | NPPES |
| 0914934 | Medicaid | OH | |
| CJ3168 | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Rich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396732426 PECOS PAC ID: 8628044070 Enrollment ID: I20100803000028 |
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