Organization
MEDICAL SERVICES 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
406 S 15TH ST, COSHOCTON, OH 43812-2285
(740) 295-3331
Mailing address
PO BOX 57, WEST LAFAYETTE, OH 43845-0057
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492011
—
OH
Enumeration date
07/17/2006
Last updated
08/22/2020
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