Organization
PHYSICIANS CHOICE HOSPITAL - FREMONT PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME ANTHONY MCTAGUE MD, JD (MANAGER)
(567) 201-2911
Entity
Organization
Contact information
Practice address
2390 ENTERPRISE ST, FREMONT, OH 43420-8507
(567) 201-2911
(567) 201-2914
Mailing address
2390 ENTERPRISE ST, FREMONT, OH 43420-8507
(567) 201-2911
(567) 201-2914
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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