Organization
PREMIER INTEGRATED MEDICAL ASSOC. LTD.
Active
Other names
PriMed Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COUCH M.D. (PRESIDENT)
(937) 898-3600
Entity
Organization
Contact information
Practice address
7271 N MAIN ST, SUITE 2, DAYTON, OH 45415-2567
(937) 293-8322
(937) 278-7112
Mailing address
4700 SMITH RD, SUITE A, CINCINNATI, OH 45212-2787
(513) 619-6819
(513) 645-2393
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2600831
—
OH
Enumeration date
04/28/2006
Last updated
12/31/2009
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