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Organization
PREMIER INTEGRATED MEDICAL ASSOC LTD
Active
Organization
PREMIER INTEGRATED MEDICAL ASSOC LTD
Active
Other names
PriMed Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A COUCH MD (PRESIDENT)
(937) 878-3600
Entity
Organization
Contact information
Practice address
7211 N MAIN ST, SUITE 1, DAYTON, OH 45415-2566
(937) 274-2117
(937) 274-9809
Mailing address
25 MERCHANT ST, STE 220 - ATTN CREDENTIALING, CINCINNATI, OH 45246-3740
(513) 533-1199
(513) 645-9827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2186174
—
OH
Enumeration date
04/28/2006
Last updated
07/15/2019
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