| |
942 Cherry St Ste B Blanchester OH 45107-7883 | |
(937) 783-9355 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 942 Cherry St Ste B, Blanchester, Ohio |
Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 942 Cherry St Ste B Blanchester OH 45107-7883 Ph: (937) 783-9355 |
NPI Number | 1265105076 |
---|---|
Provider Enumeration Date | 07/28/2021 |
Last Update Date | 08/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265105076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Dr. Catherine Laruffa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 S Broadway St, Blanchester, OH 45107 Phone: 937-783-2600 Fax: 937-783-3086 | |