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Organization
PREMIER INTEGRATED MEDICAL ASSOC. LTD
Active
Organization
PREMIER INTEGRATED MEDICAL ASSOC. LTD
Active
Other names
PriMed Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COUCH MD (PRESIDENT)
(937) 898-3600
Entity
Organization
Contact information
Practice address
500 LINCOLN PARK BLVD, SUITE 110, KETTERING, OH 45429-3492
(937) 312-8155
(937) 293-9231
Mailing address
500 LINCOLN PARK BLVD, SUITE 110, KETTERING, OH 45429-3492
(937) 312-8155
(937) 293-9231
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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