Organization
INDEPENDENT PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOMMER GORMAN (SECRETARY)
(567) 356-7407
Entity
Organization
Contact information
Practice address
3469 W ELM ST, LIMA, OH 45807-2226
(567) 940-9334
(877) 813-6315
Mailing address
3469 W ELM ST, LIMA, OH 45807-2226
(567) 940-9334
(877) 813-6315
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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