Organization
FAMILY MEDICAL PRACTICE INC
Active
Other names
Family Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMER C HURLBURT III M.D. (OWNER)
(513) 423-0141
Entity
Organization
Contact information
Practice address
3913 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-6674
(513) 423-0141
(513) 423-2677
Mailing address
3913 ROOSEVELT BLVD, MIDDLETOWN, OH 45044-6674
(513) 423-0141
(513) 423-2677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378305
—
OH
Enumeration date
12/19/2005
Last updated
07/30/2015
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