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Organization
ST MARYS MEDICAL GROUP INC.
Active
Organization
ST MARYS MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFREDO A PAGUIRIGAN M.D. (PRESIDENT)
(419) 394-5851
Entity
Organization
Contact information
Practice address
1132 HAGER ST, SAINT MARYS, OH 45885-2423
(419) 394-5851
(419) 394-0702
Mailing address
1132 HAGER ST, SAINT MARYS, OH 45885-2423
(419) 394-5851
(419) 394-0702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-032121P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127763
ANTHEM
OH
05
—
0333535
—
OH
01
—
4466481
AETNA
OH
Enumeration date
08/31/2006
Last updated
06/21/2018
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