# PROMEDICA CENTRAL PHYSICIANS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oak Valley Primary Care Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730371600
- **Authorized official:** KIMBERLY GOVAN (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (419) 824-7221

## Contact information

- **Practice address:** 22 TURTLE CREEK CIR, SUITE E, SWANTON, OH 43558-8591
- **Practice address phone:** (419) 825-2387
- **Practice address fax:** (419) 825-3783
- **Mailing address:** 22 TURTLE CREEK CIR, SUITE E, SWANTON, OH 43558-8591
- **Mailing address phone:** (419) 825-2387
- **Mailing address fax:** (419) 825-3783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 35086025 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 11/29/2007