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Organization
INTERNAL MEDICINE ASSOCIATES, INC.
Active
Organization
INTERNAL MEDICINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY Y KO (CHIEF FINANCIAL OFFICER)
(937) 558-3208
Entity
Organization
Contact information
Practice address
2115 LEITER RD, MIAMISBURG, OH 45342-3659
(937) 384-6800
(937) 384-6939
Mailing address
2115 LEITER RD, MIAMISBURG, OH 45342-3659
(937) 384-6800
(937) 384-6939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707882
—
OH
01
—
P00116003
RR MEDICARE/CLINE
OH
Enumeration date
05/23/2006
Last updated
09/30/2013
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