Organization
MID-OHIO MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE J FISHER (AR MANAGER)
(614) 322-7300
Entity
Organization
Contact information
Practice address
621 BROAD ST SW, STE 1E, PATASKALA, OH 43062-8118
(740) 927-5044
Mailing address
1492 E BROAD ST, SUITE 1501, COLUMBUS, OH 43205-1546
(614) 252-2191
(614) 252-2194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0929857
—
OH
01
—
DG4264
RAILROAD MEDICARE
OH
Enumeration date
03/28/2007
Last updated
09/19/2008
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