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Organization
PINNACLE PHYSICAL MEDICINE
Active
Organization
PINNACLE PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STEVENSON D.C. (OWNER)
(419) 529-2055
Entity
Organization
Contact information
Practice address
2031 PARK AVE W, ONTARIO, OH 44906-2234
(419) 529-2055
Mailing address
2031 PARK AVE W, ONTARIO, OH 44906-2234
(419) 529-2055
(419) 529-6085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34006500
OH
363LF0000X
Family Nurse Practitioner
Primary
18837NP
OH
Other
Enumeration date
09/02/2016
Last updated
09/30/2016
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