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Organization
TILTONSVILLE CLINIC, LLC
Active
Organization
TILTONSVILLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SCOTT TRUBIANO D.O. (DIRECTOR OWNER)
(740) 859-2121
Entity
Organization
Contact information
Practice address
342 JEFFERSON ST, TILTONSVILLE, OH 43963-1058
(740) 859-2121
(740) 859-2443
Mailing address
342 JEFFERSON ST, TILTONSVILLE, OH 43963-1058
(740) 859-2121
(740) 859-2443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007831T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301650
ANTHEM PIN#
—
01
—
205446
ADVANTRA PIN#
—
01
—
224201
HEALTH AMERICA/ASSURANCE
—
05
—
2346429
—
OH
01
—
236049386002
MED. MUT PIN#
OH
01
—
7576355
AETNA PIN#
—
01
—
HEALTH PLAN OF UPPER
HMO PIN#
OH
Enumeration date
07/28/2005
Last updated
08/22/2020
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