Organization
PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S KATIE PHILLIPS RN (OFFICE MANAGER)
(419) 227-7399
Entity
Organization
Contact information
Practice address
750 W HIGH ST, SUITE 250, LIMA, OH 45801-3959
(419) 227-7399
(419) 229-0123
Mailing address
750 W HIGH ST, SUITE 250, LIMA, OH 45801-3959
(419) 227-7399
(419) 229-0123
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1126IC
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000024846
ANTHEM
OH
05
—
0236471
—
OH
Enumeration date
05/20/2006
Last updated
08/22/2020
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