| Pastor Medical Group Doctors For Adults Inc | |
|
5966 Boymel Dr Unit 1 Fairfield OH 45014 | |
| (513) 939-0333 | |
| (513) 939-0444 |
| Full Name | Pastor Medical Group Doctors For Adults Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5966 Boymel Dr, Fairfield, Ohio |
| Authorized Official Name and Position | Silvia Elizabeth Pastor-iturricha (PRESIDENT) |
| Authorized Official Contact | 5139390333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pastor Medical Group Doctors For Adults Inc Po Box 691924 Cincinnati OH 45269-1924 Ph: (513) 939-0333 | Pastor Medical Group Doctors For Adults Inc 5966 Boymel Dr Unit 1 Fairfield OH 45014 Ph: (513) 939-0333 |
| NPI Number | 1447297312 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447297312 | NPI | - | NPPES |
| DA5113 | Other | OH | RR MEDICARE |
| 2490906 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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