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Organization
SPRINGFIELD CENTER FOR FAMILY MEDICINE, INC.
Active
Organization
SPRINGFIELD CENTER FOR FAMILY MEDICINE, INC.
Active
Other names
Mark S Roberto MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J MUIR M.D. (OWNER)
(937) 399-7777
Entity
Organization
Contact information
Practice address
3250 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9285
(937) 399-7777
(937) 399-6794
Mailing address
3250 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9285
(937) 399-7777
(937) 399-6794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013160
ANTHEM BCBS
OH
01
—
0637341
AETNA
OH
01
—
201494
BLACK LUNG
OH
05
—
2573415
—
OH
01
—
CA5632
RAILROAD MEDICARE
OH
Enumeration date
06/13/2006
Last updated
06/23/2014
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