| Liberty Pointe Primary Care | |
|
2110 Leiter Rd Miamisburg OH 45342-3660 | |
| (937) 384-4838 | |
| (937) 384-4845 |
| Full Name | Liberty Pointe Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2110 Leiter Rd, Miamisburg, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375883208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Pointe Primary Care 7117 Dutchland Pkwy Liberty Township OH 45044-9096 Ph: (513) 261-6530 | Liberty Pointe Primary Care 2110 Leiter Rd Miamisburg OH 45342-3660 Ph: (937) 384-4838 |
| NPI Number | 1841556727 |
|---|---|
| Provider Enumeration Date | 04/05/2012 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841556727 | NPI | - | NPPES |
| 0063232 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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