| |
1478 W Main St Newark OH 43055-3687 | |
(740) 366-1648 | |
(740) 366-1528 |
Full Name | |
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Speciality | Family Medicine |
Location | 1478 W Main St, Newark, Ohio |
Authorized Official Name and Position | John Y Robertson (PRESIDENT) |
Authorized Official Contact | 7403661648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1478 W Main St Newark OH 43055-3687 Ph: (740) 366-1648 | 1478 W Main St Newark OH 43055-3687 Ph: (740) 366-1648 |
NPI Number | 1942305727 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 11/01/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942305727 | NPI | - | NPPES |
2497927 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Primetown Ohio Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 N 21st St Ste A, Newark, OH 43055 Phone: 740-281-3663 Fax: 740-281-3818 | |
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