Organization
MVHE, INC.
Active
Other names
Troy Pike Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 208-8213
Entity
Organization
Contact information
Practice address
8638 OLD TROY PIKE, SUITE 103, HUBER HEIGHTS, OH 45424-1051
(937) 233-5574
(937) 233-7313
Mailing address
8638 OLD TROY PIKE, SUITE 103, HUBER HEIGHTS, OH 45424-1051
(937) 233-5574
(937) 233-7313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0741933
—
OH
Enumeration date
05/19/2006
Last updated
08/22/2020
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