| Oicc Primary Care Network | |
|
1117 E Home Rd Springfield OH 45503-2725 | |
| (937) 390-8100 | |
| (937) 390-8109 |
| Full Name | Oicc Primary Care Network |
|---|---|
| Speciality | Internal Medicine |
| Location | 1117 E Home Rd, Springfield, Ohio |
| Authorized Official Name and Position | Patricia Dietz Brasse (CREDENTIALINC COORDINATOR) |
| Authorized Official Contact | 9374292160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oicc Primary Care Network 1117 E Home Rd Springfield OH 45503-2725 Ph: (937) 390-8100 | Oicc Primary Care Network 1117 E Home Rd Springfield OH 45503-2725 Ph: (937) 390-8100 |
| NPI Number | 1396938791 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396938791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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