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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 COORDINATOR)
(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
207VM0101X
Maternal & Fetal Medicine Physician
Primary
35086025
OH
Other
Enumeration date
08/15/2007
Last updated
11/29/2007
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