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Organization
JUMP START PRIMARY CARE AND SPORTS MEDICINE, INC
Active
Organization
JUMP START PRIMARY CARE AND SPORTS MEDICINE, INC
Active
Other names
Heritage Primary Care and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B NOFTZ II M.D. (PRESIDENT)
(419) 202-3279
Entity
Organization
Contact information
Practice address
1069 KLOTZ RD STE A, BOWLING GREEN, OH 43402-4820
(419) 728-0110
Mailing address
1069 KLOTZ RD STE A, BOWLING GREEN, OH 43402-4820
(419) 728-0110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2011
Last updated
01/12/2012
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