Organization
MEDINA EMERGENCY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM D BOWEN MD (PRESIDENT)
(330) 725-1000
Entity
Organization
Contact information
Practice address
1000 E WASHING AVE, MEDINA, OH 44256
(330) 654-1185
(330) 654-9086
Mailing address
PO BOX 30790, MEDINA EMERGENCY ASSOCIATES LTD, MIDDLEBURG HEIGHTS, OH 44130-0790
(866) 266-8189
(330) 654-9086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2395546
—
OH
Enumeration date
08/15/2005
Last updated
06/12/2008
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