| Primary Medical Specialists, Inc | |
|
1611 27th St Fulton Bldg. Suite 101 Portsmouth OH 45662-6931 | |
| (740) 353-4143 | |
| (740) 353-1714 |
| Full Name | Primary Medical Specialists, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1611 27th St, Portsmouth, Ohio |
| Authorized Official Name and Position | Suzann M Bonzo (PRESIDENT) |
| Authorized Official Contact | 7403534143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Medical Specialists, Inc 1611 27th St Fulton Bldg. Suite 101 Portsmouth OH 45662-6931 Ph: (740) 353-4143 | Primary Medical Specialists, Inc 1611 27th St Fulton Bldg. Suite 101 Portsmouth OH 45662-6931 Ph: (740) 353-4143 |
| NPI Number | 1356530018 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356530018 | NPI | - | NPPES |
| 000000262223 | Other | OH | BLUECROSS/BLUE SHIELD |
| 110248769 | Other | OH | RR MEDICARE |
| 2228619 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35043902 (Ohio) | Primary |
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