| Northparke Internal Medicine Llc | |
|
211 Northparke Dr Springfield OH 45503 | |
| (937) 390-1700 | |
| (937) 390-2471 |
| Full Name | Northparke Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 Northparke Dr, Springfield, Ohio |
| Authorized Official Name and Position | Keith A Boor (PHYSICIAN COOWNER) |
| Authorized Official Contact | 9373901700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northparke Internal Medicine Llc 211 Northparke Dr Springfield OH 45503 Ph: (937) 390-1700 | Northparke Internal Medicine Llc 211 Northparke Dr Springfield OH 45503 Ph: (937) 390-1700 |
| NPI Number | 1740206929 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740206929 | NPI | - | NPPES |
| 0154658 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Ohio) | Primary |
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