| Warren Physicians Group Inc | |
|
310 Windsor Dr Cortland OH 44410-2705 | |
| (330) 637-0356 | |
| (330) 637-0361 |
| Full Name | Warren Physicians Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Windsor Dr, Cortland, Ohio |
| Authorized Official Name and Position | Gary R Gibson (CEO) |
| Authorized Official Contact | 3306370356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Physicians Group Inc 310 Windsor Dr Cortland OH 44410-2705 Ph: (330) 637-0356 | Warren Physicians Group Inc 310 Windsor Dr Cortland OH 44410-2705 Ph: (330) 637-0356 |
| NPI Number | 1144401076 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144401076 | NPI | - | NPPES |
| 0766578 | Medicaid | OH | |
| 000000170946 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35048883 (Ohio) | Primary |
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