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304 Edgewood Dr Trenton OH 45067-1461 | |
| (513) 988-6369 | |
| (513) 988-9243 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 304 Edgewood Dr, Trenton, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (CEO/PRESIDENT) |
| Authorized Official Contact | 9374998205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
304 Edgewood Dr Trenton OH 45067-1461 Ph: (513) 988-6369 | 304 Edgewood Dr Trenton OH 45067-1461 Ph: (513) 988-6369 |
| NPI Number | 1962838813 |
|---|---|
| Provider Enumeration Date | 09/24/2013 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962838813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Trenton Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Edgewood Dr, Trenton, OH 45067 Phone: 513-988-9243 Fax: 513-988-9369 | |