| Zollett Medical Associates | |
|
200 Medical Center Dr Ste 490 Middletown OH 45005-5182 | |
| (513) 424-1291 | |
| (513) 424-9422 |
| Full Name | Zollett Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Medical Center Dr, Middletown, Ohio |
| Authorized Official Name and Position | Kenneth Prunier (PRESIDENT/CEO) |
| Authorized Official Contact | 9374998213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zollett Medical Associates 200 Medical Center Dr Ste 490 Middletown OH 45005-5182 Ph: (513) 424-1291 | Zollett Medical Associates 200 Medical Center Dr Ste 490 Middletown OH 45005-5182 Ph: (513) 424-1291 |
| NPI Number | 1598037459 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 11/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598037459 | NPI | - | NPPES |
| 0060617 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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