| Generations Family Medicine Of Southwest Ohio Llc | |
|
1042 Summitt Sq Middletown OH 45042-3400 | |
| (513) 217-5850 | |
| Not Available |
| Full Name | Generations Family Medicine Of Southwest Ohio Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1042 Summitt Sq, Middletown, Ohio |
| Authorized Official Name and Position | Leah Avera (PRESIDENT) |
| Authorized Official Contact | 5132175850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Family Medicine Of Southwest Ohio Llc Po Box 635893 Cincinnati OH 45263-5893 Ph: (513) 721-3504 | Generations Family Medicine Of Southwest Ohio Llc 1042 Summitt Sq Middletown OH 45042-3400 Ph: (513) 217-5850 |
| NPI Number | 1508040171 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508040171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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