| Tiltonsville Clinic, Llc | |
|
342 Jefferson St Tiltonsville OH 43963-1058 | |
| (740) 859-2121 | |
| Not Available |
| Full Name | Tiltonsville Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 342 Jefferson St, Tiltonsville, Ohio |
| Authorized Official Name and Position | Douglas S Trubiano (PRESIDENT) |
| Authorized Official Contact | 7408592121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiltonsville Clinic, Llc 342 Jefferson St Tiltonsville OH 43963-1058 Ph: (740) 859-2121 | Tiltonsville Clinic, Llc 342 Jefferson St Tiltonsville OH 43963-1058 Ph: (740) 859-2121 |
| NPI Number | 1295762953 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295762953 | NPI | - | NPPES |
| 34790 | Other | OH | BOARD CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34007831 (Ohio) | Primary |
Tiltonsville Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Jefferson St, Tiltonsville, OH 43963 Phone: 740-859-2121 Fax: 740-859-2443 |