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Organization
PREMIER INTEGREATED MEDICAL ASSOC LTD
Active
Organization
PREMIER INTEGREATED MEDICAL ASSOC LTD
Active
Other names
PriMed Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A COUCH MD (PRESIDENT)
(937) 898-3600
Entity
Organization
Contact information
Practice address
979 CONGRESS PARK DR, CENTERVILLE, OH 45459-4009
(937) 435-9013
(937) 435-1458
Mailing address
4700 SMITH RD, SUITE A, CINCINNATI, OH 45212-2787
(513) 619-6819
(513) 645-2393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115342
—
OH
Enumeration date
04/28/2006
Last updated
01/04/2010
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