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Organization
SELBY PHYSICIANS SERVICES INC
Active
Organization
SELBY PHYSICIANS SERVICES INC
Active
Parent organization
SELBY PHYSICIAN SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELBY PHYSICIAN SERVICES INC
Authorized official
STEVE SMITH (PRESIDENT)
(740) 568-2040
Entity
Organization
Contact information
Practice address
1106 COLEGATE DR, MARIETTA, OH 45750-1323
(740) 568-2048
(740) 568-2089
Mailing address
1106 COLEGATE DR, MARIETTA, OH 45750-1323
(740) 568-2048
(740) 568-2094
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2638435
—
OH
Enumeration date
05/17/2006
Last updated
09/08/2009
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