Organization
MEDICAL SERICES OF COSHOCTON, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MILLER (CEO)
(740) 623-4009
Entity
Organization
Contact information
Practice address
311 S 15TH ST, COSHOCTON, OH 43812-1873
(740) 622-0799
(740) 622-0636
Mailing address
PO BOX 57, WEST LAFAYETTE, OH 43845-0057
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35080169
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006742
—
OH
Enumeration date
06/07/2006
Last updated
01/11/2008
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