| Pioneer Physicians Network Inc | |
|
5454 Fulton Dr Nw Canton OH 44718-1727 | |
| (330) 899-1051 | |
| (330) 634-1329 |
| Full Name | Pioneer Physicians Network Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5454 Fulton Dr Nw, Canton, Ohio |
| Authorized Official Name and Position | Paula Moore (CREDENTIALING LIAISION) |
| Authorized Official Contact | 2342713353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Physicians Network Inc 3515 Massillon Rd Ste 300 Uniontown OH 44685-7854 Ph: (234) 271-3353 | Pioneer Physicians Network Inc 5454 Fulton Dr Nw Canton OH 44718-1727 Ph: (330) 899-1051 |
| NPI Number | 1174296172 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174296172 | NPI | - | NPPES |
| 0194267 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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