Organization
CEDAR VALLEY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H SHUPERT MD (PRESIDENT)
(937) 544-8989
Entity
Organization
Contact information
Practice address
126 N CROSS ST, WEST UNION, OH 45693-1209
(937) 544-8989
(937) 544-5659
Mailing address
PO BOX 634023, CINCINNATI, OH 45263-0001
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2445232
—
OH
05
—
65942609
—
KY
01
—
DC2504
RAILROAD MEDICARE
OH
Enumeration date
05/25/2006
Last updated
11/30/2007
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