| Woodcroft Family Practice | |
|
4235 Indian Ripple Rd Suite 210 Beavercreek OH 45440-3284 | |
| (937) 427-9671 | |
| (937) 427-9202 |
| Full Name | Woodcroft Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 4235 Indian Ripple Rd, Beavercreek, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9374998205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodcroft Family Practice 4235 Indian Ripple Rd Suite 210 Beavercreek OH 45440-3284 Ph: (937) 427-9671 | Woodcroft Family Practice 4235 Indian Ripple Rd Suite 210 Beavercreek OH 45440-3284 Ph: (937) 427-9671 |
| NPI Number | 1316376643 |
|---|---|
| Provider Enumeration Date | 11/07/2013 |
| Last Update Date | 11/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316376643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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