Organization
MVHE INC
Active
Other names
Middletown Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PRUNIER (CEO/PRESIDENT)
(937) 499-8205
Entity
Organization
Contact information
Practice address
200 N BREIEL BLVD, MIDDLETOWN, OH 45042-3808
(513) 424-2535
(513) 424-0363
Mailing address
200 N BREIEL BLVD, MIDDLETOWN, OH 45042-3808
(513) 424-2535
(513) 424-0363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109691
—
OH
Enumeration date
08/21/2014
Last updated
11/19/2014
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