| Gem City Physicians Inc | |
|
7668 Paragon Rd Ste A Centerville OH 45459-4049 | |
| (937) 438-9064 | |
| (937) 438-5060 |
| Full Name | Gem City Physicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7668 Paragon Rd, Centerville, Ohio |
| Authorized Official Name and Position | Joseph Robert Mastandrea (OWNER) |
| Authorized Official Contact | 9374389064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gem City Physicians Inc 7668 Paragon Rd Ste A Centerville OH 45459-4049 Ph: (937) 438-9064 | Gem City Physicians Inc 7668 Paragon Rd Ste A Centerville OH 45459-4049 Ph: (937) 438-9064 |
| NPI Number | 1902849169 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 05/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902849169 | NPI | - | NPPES |
| 3012895 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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