| Twin Valley Family Practice | |
|
60 W Dayton St West Alexandria OH 45381-1128 | |
| (937) 839-8837 | |
| (937) 839-0408 |
| Full Name | Twin Valley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 60 W Dayton St, West Alexandria, Ohio |
| Authorized Official Name and Position | Carol L Bland (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 9378398837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Valley Family Practice 60 W Dayton St West Alexandria OH 45381-1128 Ph: (937) 839-8837 | Twin Valley Family Practice 60 W Dayton St West Alexandria OH 45381-1128 Ph: (937) 839-8837 |
| NPI Number | 1841464062 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841464062 | NPI | - | NPPES |
| 2061174 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35073056B (Ohio) | Primary |
Raymond D Wolf D.o. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Marty Ln, West Alexandria, OH 45381 Phone: 937-839-4681 Fax: 937-839-1126 |