| Pinnacle Physical Medicine | |
|
2031 Park Ave W Ontario OH 44906-2234 | |
| (419) 529-2055 | |
| Not Available |
| Full Name | Pinnacle Physical Medicine |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 2031 Park Ave W, Ontario, Ohio |
| Authorized Official Name and Position | Amanda Stevenson (OWNER) |
| Authorized Official Contact | 4195292055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Physical Medicine 2031 Park Ave W Ontario OH 44906-2234 Ph: (419) 529-2055 | Pinnacle Physical Medicine 2031 Park Ave W Ontario OH 44906-2234 Ph: (419) 529-2055 |
| NPI Number | 1477000859 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 09/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477000859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34006500 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 18837NP (Ohio) | Primary |
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