Organization
OURHEALTH PHYSICIAN GROUP, LLC
Active
Parent organization
OURHEALTH PHYSICIAN GROUP, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OURHEALTH PHYSICIAN GROUP, LLC
Authorized official
JEFFREY MICHAEL WELLS (PRESIDENT)
(317) 522-0823
Entity
Organization
Contact information
Practice address
2188 KINGS MILLS RD, MASON, OH 45040-2400
(513) 964-0830
Mailing address
4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/29/2018
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