Organization
AFFINITY FAMILY PRACTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY J DURBIN OFFICE MANGER (OFFICE MANGER)
(330) 682-3075
Entity
Organization
Contact information
Practice address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 682-3075
(330) 682-7454
Mailing address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 682-3075
(330) 682-7454
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
34002743
OH
207Q00000X
Family Medicine Physician
Primary
34002356
OH
207Q00000X
Family Medicine Physician
34006265
OH
207Q00000X
Family Medicine Physician
34008128
OH
207Q00000X
Family Medicine Physician
34008892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241616
—
OH
05
—
0284697
—
OH
05
—
0443765
—
OH
05
—
2876339
—
OH
Enumeration date
06/13/2006
Last updated
12/09/2013
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