Organization
PLATT FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J PLATT DO (OWNER)
(740) 594-7050
Entity
Organization
Contact information
Practice address
530 W UNION ST, SUITE B, ATHENS, OH 45701-8303
(740) 594-7050
Mailing address
530 W UNION ST, SUITE B, ATHENS, OH 45701-8303
(740) 594-7050
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
34 004801
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844702
—
OH
Enumeration date
02/11/2008
Last updated
12/02/2009
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