Organization
PREMISE HEALTH OF OHIO MEDICAL, P.A
Active
Other names
Everett Occupational Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
1200 MERRILL CREEK PKWY, EVERETT, WA 98203-7152
(425) 407-6431
(425) 407-6566
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(877) 865-9013
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
08/16/2022
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