Organization
SPRINGBORO FAMILY MEDICINE
Active
Other names
Premier Health Partners
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLY GUERRANT (CREDENTIALING MANAGER)
(937) 499-8262
Entity
Organization
Contact information
Practice address
630 N MAIN ST, SPRINGBORO, OH 45066-7519
(937) 748-4211
Mailing address
630 N MAIN ST, SPRINGBORO, OH 45066-7519
(937) 748-4211
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
APRN.CNP.020120
OH
Other
Enumeration date
10/31/2016
Last updated
11/09/2016
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