Organization
SPRINGBORO FAMILY MEDICINE
Active
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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