| Independent Physical Medicine Llc | |
|
3469 W Elm St Lima OH 45807-2226 | |
| (567) 940-9334 | |
| (877) 813-6315 |
| Full Name | Independent Physical Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 3469 W Elm St, Lima, Ohio |
| Authorized Official Name and Position | Sommer Gorman (SECRETARY) |
| Authorized Official Contact | 5673567407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Physical Medicine Llc 3469 W Elm St Lima OH 45807-2226 Ph: (567) 940-9334 | Independent Physical Medicine Llc 3469 W Elm St Lima OH 45807-2226 Ph: (567) 940-9334 |
| NPI Number | 1063062354 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 09/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063062354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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