Organization
CLYO INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JOHN PALMER M.D. (OWNER)
(937) 435-5857
Entity
Organization
Contact information
Practice address
7073 CLYO RD, CENTERVILLE, OH 45459-4816
(937) 435-5857
(937) 912-4960
Mailing address
7073 CLYO RD, CENTERVILLE, OH 45459-4816
(937) 435-5857
(937) 912-4960
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591673
—
OH
Enumeration date
05/19/2006
Last updated
09/11/2025
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