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Organization
WEST PARK FAMILY PHYSICIANS, INC.
Active
Organization
WEST PARK FAMILY PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D HILLARD M.D. (PRESIDENT)
(419) 472-1124
Entity
Organization
Contact information
Practice address
4041 W SYLVANIA AVE, SUITE 100, TOLEDO, OH 43623-4465
(419) 472-1124
(419) 486-8857
Mailing address
4041 W SYLVANIA AVE, SUITE 100, TOLEDO, OH 43623-4465
(419) 472-1124
(419) 486-8857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2230482
—
OH
01
—
CH5592
RAILROAD MEDICARE
OH
Enumeration date
03/27/2006
Last updated
11/06/2009
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