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Organization
SAMARITAN FAMILY CARE INC
Active
Organization
SAMARITAN FAMILY CARE INC
Active
Other names
Premier Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KEN PRUNIER (CEO/PRESIDENT)
(937) 499-9015
Entity
Organization
Contact information
Practice address
9000 N MAIN ST, STE 238, DAYTON, OH 45415-1180
(937) 832-0006
(937) 832-0017
Mailing address
9000 N MAIN ST, STE 238, DAYTON, OH 45415-1180
(937) 832-0006
(937) 832-0017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083312
—
OH
Enumeration date
03/27/2013
Last updated
11/08/2013
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