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Organization
PROMEDICA CENTRAL PHYSICIANS,LLC
Active
Organization
PROMEDICA CENTRAL PHYSICIANS,LLC
Active
Other names
Oak Valley Primary Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOVAN (CREDENTIALING SUPERVISOR)
(419) 824-7221
Entity
Organization
Contact information
Practice address
22 TURTLE CREEK CIR, SUITE E, SWANTON, OH 43558-8591
(419) 825-2387
(419) 825-3783
Mailing address
22 TURTLE CREEK CIR, SUITE E, SWANTON, OH 43558-8591
(419) 825-2387
(419) 825-3783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
02/18/2008
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