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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
MARK COUCH M.D. (PRESIDENT)
(937) 898-3600
Entity
Organization
Contact information
Practice address
540 LINCOLN PARK BLVD, SUITE350, KETTERING, OH 45429-6401
(937) 312-8100
(937) 312-8101
Mailing address
4700 SMITH RD, SUITE A, CINCINNATI, OH 45212-2787
(513) 619-6819
(513) 645-2393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2512669
—
OH
Enumeration date
05/04/2006
Last updated
12/31/2009
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