| Premier Family Care Of Mason | |
|
4859 Nixon Park Dr Ste A Mason OH 45040 | |
| (513) 492-5940 | |
| (513) 492-5941 |
| Full Name | Premier Family Care Of Mason |
|---|---|
| Speciality | Family Medicine |
| Location | 4859 Nixon Park Dr, Mason, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9374998213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Care Of Mason 4859 Nixon Park Dr Ste A Mason OH 45040 Ph: (513) 492-5940 | Premier Family Care Of Mason 4859 Nixon Park Dr Ste A Mason OH 45040 Ph: (513) 492-5940 |
| NPI Number | 1083841555 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083841555 | NPI | - | NPPES |
| 2960792 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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