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Organization
TILTONSVILLE CLINIC, LLC
Active
Organization
TILTONSVILLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S TRUBIANO D.O (PRESIDENT)
(740) 859-2121
Entity
Organization
Contact information
Practice address
342 JEFFERSON ST, TILTONSVILLE, OH 43963-1058
(740) 859-2121
Mailing address
342 JEFFERSON ST, TILTONSVILLE, OH 43963-1058
(740) 859-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34007831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34790
BOARD CERTIFICATION
OH
Enumeration date
06/27/2006
Last updated
08/22/2020
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