| Selby Physicians Services Inc | |
|
1106 Colegate Dr Marietta OH 45750-1323 | |
| (740) 568-2048 | |
| (740) 568-2089 |
| Full Name | Selby Physicians Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1106 Colegate Dr, Marietta, Ohio |
| Authorized Official Name and Position | Steve Smith (PRESIDENT) |
| Authorized Official Contact | 7405682040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selby Physicians Services Inc 1106 Colegate Dr Marietta OH 45750-1323 Ph: (740) 568-2048 | Selby Physicians Services Inc 1106 Colegate Dr Marietta OH 45750-1323 Ph: (740) 568-2048 |
| NPI Number | 1982656641 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982656641 | NPI | - | NPPES |
| 2638435 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34008255 (Ohio) | Primary |
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