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Organization
SPRINGFIELD PRIMARY HEALTHCARE SERVICES, LLC
Active
Organization
SPRINGFIELD PRIMARY HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SHREWSBURY (CEO/NURSE PRACTITIONER)
(304) 575-3279
Entity
Organization
Contact information
Practice address
448 E HIGH ST, SPRINGFIELD, OH 45505-1008
(937) 505-9948
(937) 505-9951
Mailing address
448 E HIGH ST, SPRINGFIELD, OH 45505-1008
(937) 505-9948
(937) 505-9951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA15504NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096026
—
OH
Enumeration date
08/02/2016
Last updated
12/29/2016
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